Iwabuchi T, Hatanaka M, Ebina K, Suzuki S
No Shinkei Geka. 1981 Apr;9(5):593-8.
In consecutive 13 cases of the carotid occlusive lesions the carotid thromboendarterectomy was performed with some of our devices as follows: 1) Superior cervical ganglionectomy was added to this operation, bringing efficacy to increase cerebral blood flow. 2) Removal of atheroma plaque en block, as far as possible, shortened the operation time and diminished the arterial wall damage. 3) We could approach to the carotid artery without dissection of the common facial vein by antero-medial retraction of the internal jugular vein. 4) The operation without internal shunt made the technique simple and shortened the operation time. 5) Interlacing vascular suture with microsurgical technique prevented narrowing or shortening of the carotid artery. 6) We used a pair of small needle holders with teeth for anterior wall suture. We could pick up the adventitia easily and exactly, and did not need change of the needle holding with these instruments. 7) Others: The clamping time ranged 15-45 minutes without any neurological deficits.
在连续13例颈动脉闭塞性病变患者中，使用我们的一些器械进行了颈动脉血栓内膜切除术，具体如下：1）在此手术中增加颈上神经节切除术，提高了脑血流量。2）尽可能整块切除动脉粥样斑块，缩短了手术时间，减少了动脉壁损伤。3）通过颈内静脉前内侧牵拉，无需解剖面总静脉即可接近颈动脉。4）不使用内分流器的手术使技术简化，缩短了手术时间。5）采用显微外科技术进行血管交错缝合可防止颈动脉狭窄或缩短。6）我们使用一对带齿的小持针器进行前壁缝合。我们能够轻松、准确地夹住外膜，使用这些器械无需更换持针方式。7）其他：阻断时间为15 - 45分钟，无任何神经功能缺损。
