Experimental study of magnetic compression technique for anastomosis reconstruction of esophagus_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHANG Miaomiao ^1,2 , JI Lin ^1,2 , LIU Peinan ^2,3 , ZHANG Hanzhi ^2,3 , MOU Xingyi ^2,4 , XU Shuqin ^2,4 , ZHANG Yong ⁵ , LV Yi ^1,2 ,  YAN Xiaopeng ^1,2

1. Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, 710061, P.R.China;
2. National Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, 710061, P.R.China;
3. Qide College, Xi’an Jiaotong University, Xi’an, 710061, P.R.China;
4. Zonglian College, Xi’an Jiaotong University, Xi’an, 710061, P.R.China;
5. Department of Thoracic Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, 710061, P.R.China;

Corresponding?author：

YAN Xiaopeng, Email: yanxiaopeng99@163.com

Keywords：

Magnetic surgery; magnetic compression technique; magnamosis; esophageal anastomosis; experimental study

DOI：

10.7507/1007-4848.202103066

Video：

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Objective To investigate the feasibility of magnamosis rings designed based on magnetic compression technique in esophageal anastomosis reconstruction.Methods According to the anatomical characteristics of esophagus in SD rats, the esophageal magnamosis rings were designed. SD rats were used as animal models (n=10, 5 males and 5 females) to complete the magnetic anastomosis reconstruction of the cervical esophagus using magnamosis rings, and the operation time, animal survival, postoperative complications, magnetic rings excretion time were recorded. Two weeks after operation, the rats were killed, and the esophageal anastomotic specimens were obtained. The blasting pressure of the anastomotic site was measured and the formation of the anastomotic site was observed with naked eyes.Results Esophageal magnamosis was successfully performed in 10 SD rats, and the median operation time was 11 (8-13) min. All rats survived without anastomotic leakage, anastomotic stenosis, or magnetic rings incarceration. The magnetic rings were discharged after 8 (5-10) days and the burst pressure was higher than 300 mm Hg. Visual observation showed that the anastomotic muscle healed well and the mucosa was smooth.Conclusion The magnetic compression technique can be used for anastomosis reconstruction of esophagus, which has the advantages of simple operation and reliable anastomosis effect, and has clinical application prospect.

Citation： ZHANG Miaomiao, JI Lin, LIU Peinan, ZHANG Hanzhi, MOU Xingyi, XU Shuqin, ZHANG Yong, LV Yi, YAN Xiaopeng. Experimental study of magnetic compression technique for anastomosis reconstruction of esophagus. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(1): 95-99. doi: 10.7507/1007-4848.202103066 Copy

1.	習林云, 吳春, 潘征夏, 等. Ⅲ型先天性食管閉鎖手術后并發癥的危險因素分析. 臨床小兒外科雜志, 2019, 18(6): 462-466.
2.	劉仕琪, 呂毅, 趙靜儒, 等. 磁吻合技術治療先天性食管閉鎖與狹窄療效分析. 中華普通外科雜志, 2020, 35(5): 412-414.
3.	嚴小鵬, 商澎, 史愛華, 等. 磁外科學體系的探索與建立. 科學通報, 2019, 64(8): 815-826.
4.	張苗苗, 吉琳, 牟星宜, 等. 磁吻合研究現狀與發展趨勢. 中國醫療設備, 2020, 35(11): 45-48.
5.	嚴小鵬, 馬佳, 呂毅, 等. 無縫線化門腔側-側吻合磁性裝置的研制. 生物醫學工程學進展, 2013, 34(4): 218-220.
6.	劉仕琪, 雷鵬, 呂毅, 等. 利用磁吻合技術實現犬下腔靜脈端端吻合. 中華普通外科雜志, 2013, 28(12): 931-934.
7.	嚴小鵬, 張苗苗, 吉琳, 等. 基于磁吻合技術的經自然腔道胃結腸吻合實驗研究. 中國醫療設備, 2020, 35(11): 58-60.
8.	吝怡, 吉琳, 樊茜, 等. 磁壓榨技術建立胃腸吻合的動物實驗研究. 中華消化內鏡雜志, 2020, 37(9): 652-656.
9.	吉琳, 常凱曦, 王俊翔, 等. 磁環構建大鼠膽腸吻合模型的實驗研究. 中國醫療設備, 2020, 35(11): 49-51.
10.	Yan XP, Zou YL, She ZF, et al. Magnet compression technique: A novel method for rectovaginal fistula repair. Int J Colorectal Dis, 2016, 31(4): 937-938.
11.	付珊, 馬佳, 趙廣賓, 等. 磁壓榨直腸陰道瘺閉合修補裝置的改良設計. 中國醫療設備, 2018, 33(4): 46-49.
12.	李益行, 劉培楠, 張至軒, 等. 基于磁壓榨技術的氣管食管瘺閉合修補裝置的設計. 醫療衛生裝備, 2020, 41(4): 14-17, 38.
13.	葉丹, 邱明龍, 高慧敏, 等. 磁壓榨技術治療小兒食管閉鎖和狹窄的臨床應用探索. 中華小兒外科雜志, 2020, 41(4): 370-374.
14.	嚴小鵬, 史愛華, 王善佩, 等. 磁壓榨技術治療復雜性膽道狹窄的臨床應用探索. 中華肝膽外科雜志, 2019, 25(3): 237-240.
15.	Obora Y, Tamaki N, Matsumoto S. Nonsuture microvascular anastomosis using magnet rings: Preliminary report. Surg Neurol, 1978, 9(2): 117-20.
16.	Jamshidi R, Stephenson JT, Clay JG, et al. Magnamosis: Magnetic compression anastomosis with comparison to suture and staple techniques. J Pediatr Surg, 2009, 44(1): 222-228.
17.	嚴小鵬, 劉雯雁, 李滌塵, 等. 消化外科手術的內鏡化途徑: 磁吻合聯合內鏡. 世界華人消化雜志, 2014, 22(19): 2716-2721.
18.	李建輝, 呂毅, 張智勇, 等. 急性膽管損傷后應用磁性膽腸吻合支架一期修復膽腸連續性的實驗研究. 中華肝膽外科雜志, 2007, 13(11): 767-770.
19.	馬海軍, 王善佩, 樊超, 等. 應用磁壓榨吻合術行腸瘺一期修補的實驗研究. 中華消化外科雜志, 2011, 10(1): 64-67.
20.	嚴小鵬, 高燕鳳, 鄒余糧, 等. 基于磁壓榨技術的直腸陰道瘺一期修補裝置. 生物醫學工程學雜志, 2015, 32(5): 1096-1099.
21.	吝怡, 樊茜, 朱森林, 等. 磁吻合環建立兔小腸側側吻合的實驗研究. 醫療衛生裝備, 2020, 41(4): 18-21.
22.	Muensterer OJ, Sterlin A, Oetzmann von Sochaczewski C, et al. An experimental study on magnetic esophageal compression anastomosis in piglets. J Pediatr Surg, 2020, 55(3): 425-432.

1. 習林云, 吳春, 潘征夏, 等. Ⅲ型先天性食管閉鎖手術后并發癥的危險因素分析. 臨床小兒外科雜志, 2019, 18(6): 462-466.
2. 劉仕琪, 呂毅, 趙靜儒, 等. 磁吻合技術治療先天性食管閉鎖與狹窄療效分析. 中華普通外科雜志, 2020, 35(5): 412-414.
3. 嚴小鵬, 商澎, 史愛華, 等. 磁外科學體系的探索與建立. 科學通報, 2019, 64(8): 815-826.
4. 張苗苗, 吉琳, 牟星宜, 等. 磁吻合研究現狀與發展趨勢. 中國醫療設備, 2020, 35(11): 45-48.
5. 嚴小鵬, 馬佳, 呂毅, 等. 無縫線化門腔側-側吻合磁性裝置的研制. 生物醫學工程學進展, 2013, 34(4): 218-220.
6. 劉仕琪, 雷鵬, 呂毅, 等. 利用磁吻合技術實現犬下腔靜脈端端吻合. 中華普通外科雜志, 2013, 28(12): 931-934.
7. 嚴小鵬, 張苗苗, 吉琳, 等. 基于磁吻合技術的經自然腔道胃結腸吻合實驗研究. 中國醫療設備, 2020, 35(11): 58-60.
8. 吝怡, 吉琳, 樊茜, 等. 磁壓榨技術建立胃腸吻合的動物實驗研究. 中華消化內鏡雜志, 2020, 37(9): 652-656.
9. 吉琳, 常凱曦, 王俊翔, 等. 磁環構建大鼠膽腸吻合模型的實驗研究. 中國醫療設備, 2020, 35(11): 49-51.
10. Yan XP, Zou YL, She ZF, et al. Magnet compression technique: A novel method for rectovaginal fistula repair. Int J Colorectal Dis, 2016, 31(4): 937-938.
11. 付珊, 馬佳, 趙廣賓, 等. 磁壓榨直腸陰道瘺閉合修補裝置的改良設計. 中國醫療設備, 2018, 33(4): 46-49.
12. 李益行, 劉培楠, 張至軒, 等. 基于磁壓榨技術的氣管食管瘺閉合修補裝置的設計. 醫療衛生裝備, 2020, 41(4): 14-17, 38.
13. 葉丹, 邱明龍, 高慧敏, 等. 磁壓榨技術治療小兒食管閉鎖和狹窄的臨床應用探索. 中華小兒外科雜志, 2020, 41(4): 370-374.
14. 嚴小鵬, 史愛華, 王善佩, 等. 磁壓榨技術治療復雜性膽道狹窄的臨床應用探索. 中華肝膽外科雜志, 2019, 25(3): 237-240.
15. Obora Y, Tamaki N, Matsumoto S. Nonsuture microvascular anastomosis using magnet rings: Preliminary report. Surg Neurol, 1978, 9(2): 117-20.
16. Jamshidi R, Stephenson JT, Clay JG, et al. Magnamosis: Magnetic compression anastomosis with comparison to suture and staple techniques. J Pediatr Surg, 2009, 44(1): 222-228.
17. 嚴小鵬, 劉雯雁, 李滌塵, 等. 消化外科手術的內鏡化途徑: 磁吻合聯合內鏡. 世界華人消化雜志, 2014, 22(19): 2716-2721.
18. 李建輝, 呂毅, 張智勇, 等. 急性膽管損傷后應用磁性膽腸吻合支架一期修復膽腸連續性的實驗研究. 中華肝膽外科雜志, 2007, 13(11): 767-770.
19. 馬海軍, 王善佩, 樊超, 等. 應用磁壓榨吻合術行腸瘺一期修補的實驗研究. 中華消化外科雜志, 2011, 10(1): 64-67.
20. 嚴小鵬, 高燕鳳, 鄒余糧, 等. 基于磁壓榨技術的直腸陰道瘺一期修補裝置. 生物醫學工程學雜志, 2015, 32(5): 1096-1099.
21. 吝怡, 樊茜, 朱森林, 等. 磁吻合環建立兔小腸側側吻合的實驗研究. 醫療衛生裝備, 2020, 41(4): 18-21.
22. Muensterer OJ, Sterlin A, Oetzmann von Sochaczewski C, et al. An experimental study on magnetic esophageal compression anastomosis in piglets. J Pediatr Surg, 2020, 55(3): 425-432.

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