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大鼠腹腔镜手术的标准化技术。

Standardized technique of laparoscopic surgery in the rat.

作者信息

Gutt C N, Riemer V, Brier C, Berguer R, Paolucci V

机构信息

Department of General Surgery, Johann Wolfgang Goethe University, Frankfurt/Main, Germany.

出版信息

Dig Surg. 1998;15(2):135-9. doi: 10.1159/000018606.

Abstract

The evolution of advanced laparoscopic techniques requires animal models for instrument development, evaluation of the physiopathological correlation and physician training. Selection of surgical models is primarily based on cost, availability, anatomic and physiologic considerations, and housing and anesthetic methods. The use of large animals is becoming increasingly difficult due to restrictive legislation, public concern, and economic factors. A standardized technique of laparoscopic surgery in the rat has been developed to perform procedures in all abdominal regions including fundoplication, splenectomy, nephrectomy, liver resection, herniorraphy, colotomy, colectomy, and retroperitoneal exploration. The equipment consists of a specially designed small animal operating table, a standard arthroscope and micro-instruments. The rat model gives the opportunity to investigate the physiopathological relations and immune functions of laparoscopic procedures, to develop micro-instruments under realistic conditions of a live organism, and it is an excellent training model especially for pediatric and microsurgery. Besides low costs and easy availability, the rat model requires less logistic and financial efforts.

摘要

先进腹腔镜技术的发展需要动物模型来进行器械研发、评估生理病理相关性以及培训医生。手术模型的选择主要基于成本、可获得性、解剖和生理因素以及饲养和麻醉方法。由于立法限制、公众关注和经济因素,使用大型动物变得越来越困难。已经开发出一种标准化的大鼠腹腔镜手术技术,可在所有腹部区域进行手术,包括胃底折叠术、脾切除术、肾切除术、肝切除术、疝修补术、结肠切开术、结肠切除术和腹膜后探查术。该设备包括一个专门设计的小动物手术台、一个标准关节镜和微型器械。大鼠模型为研究腹腔镜手术的生理病理关系和免疫功能提供了机会,能在活体生物的实际条件下开发微型器械,并且它是一种优秀的培训模型,尤其适用于儿科和显微外科手术。除了成本低和易于获得外,大鼠模型所需的后勤和资金投入较少。

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