Ouaknine G E
Neurochirurgie. 1980;26(1):67-70.
This experimental work presents the results of 180 submillimetric microvascular interventions performed on the carotid arteries and jugular veins of 130 white rats weighting 100-150 g each. End to end (54 cases), end to side (76 cases) anastomosis, repair of arteriotomies by microsutures (30 cases) or patch graft (20 cases) were performed on submillimetric vessels (0.5 to 0.8 mm). Rats were used as acute preparation (70 cases) for the development of technical skill but in 100 cases they were kept alive between 1 to 3 weeks and then operated again. The patency rate, confirmed by arteriographies in 32 cases, was about 92%. At the end of training all the microvascular surgical procedures, even the most sophisticated, were patent at 100 %. The discussion emphasizes some points of technic concerning the choice of micro-instruments, sutures and clips and the realisation of submillimetric micro-anastomosis.
这项实验工作展示了对130只体重为100 - 150克的白鼠的颈动脉和颈静脉进行的180次亚毫米级微血管干预的结果。在0.5至0.8毫米的亚毫米级血管上进行了端端吻合（54例）、端侧吻合（76例）、用显微缝线修复动脉切开术（30例）或补片移植（20例）。将白鼠用作培养技术技能的急性实验对象（70例），但在100例中，它们存活1至3周后再次接受手术。通过32例血管造影证实的通畅率约为92%。在训练结束时，所有微血管外科手术，即使是最复杂的手术，通畅率均为100%。讨论强调了一些技术要点，涉及微型器械、缝线和夹子的选择以及亚毫米级微血管吻合的实现。
