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中华疝和腹壁外科杂志(电子版)

中华疝和腹壁外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (04) : 323 -326. doi: 10.3877/cma.j.issn.1674-392X.2020.04.001

所属专题： 文献；

前沿

磁外科理念能使疝与腹壁外科技术再优化
卢强1, 刘康1, 杨丽斐2, 王荣峰1, 王越1, 吕毅1,†()   
  1. 1. 710061　西安交通大学第一附属医院肝胆外科；精准外科与再生医学国家地方联合工程研究中心；陕西省再生医学与外科工程研究中心
    2. 精准外科与再生医学国家地方联合工程研究中心；陕西省再生医学与外科工程研究中心
  • 收稿日期:2019-12-20 出版日期:2020-08-18
  • 通信作者: 吕毅
  • 基金资助:
    陕西省自然科学基础研究计划资助项目(2020JQ-528); 教育部创新团队发展计划(IRT_16R57)

Surgical technique of hernia and abdominal wall can be optimized with the concept of magnetic surgery

Qiang Lu1, Kang Liu1, Lifei Yang2, Rongfeng Wang1, Yue Wang1, Yi Lv1,†()   

  1. 1. Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China; National Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, Xi'an 710061, China; Shaanxi Province Center for Regenerative Medicine and Surgery Engineering Research, Xi'an 710061, China
    2. National Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, Xi'an 710061, China; Shaanxi Province Center for Regenerative Medicine and Surgery Engineering Research, Xi'an 710061, China
  • Received:2019-12-20 Published:2020-08-18
  • Corresponding author: Yi Lv
  • About author:
    Corresponding author: Lv Yi, Email:
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卢强, 刘康, 杨丽斐, 王荣峰, 王越, 吕毅. 磁外科理念能使疝与腹壁外科技术再优化[J]. 中华疝和腹壁外科杂志(电子版), 2020, 14(04): 323-326.

Qiang Lu, Kang Liu, Lifei Yang, Rongfeng Wang, Yue Wang, Yi Lv. Surgical technique of hernia and abdominal wall can be optimized with the concept of magnetic surgery[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(04): 323-326.

磁外科是一门新型的外科技术体系，按照临床应用及原理的不同可以将磁外科技术分为以下5类：磁压榨技术、磁导航技术、磁锚定技术、磁悬浮技术以及磁示踪技术。不同的磁外科技术以其独特的优势创新了多种新型外科诊断和治疗方法，同时也优化了众多传统的外科诊疗手段。目前，磁外科技术已经在管腔重建、组织牵引暴露以及病变追踪等领域应用并展现出了良好的应用前景。在疝和腹壁外科手术中，磁外科技术具备优化某些手术操作的潜质，如在腔镜疝修补手术中利用磁力导航可以使得疝补片术中移动和固定更灵活，磁力锚定可以使得腔镜手术更微创，磁力牵引可以使腹壁组织游离更便捷，而磁力吻合可以使得腹腔感染控制和减容更安全。

关键词: 磁外科, 疝外科, 腹壁外科, 技术优化

Magnetic surgery is a novel surgical technology system. According to different clinical applications and principles, it can be divided into the following five categories: magnetic compression technique, magnetic navigation technique, magnetic anchoring technique, magnetic levitation technique and magnetic tracer technique. With its unique advantages, many new surgical diagnosis and treatment methods were innovated under the concept of magnetic surgery technology, and some traditional surgical diagnosis and treatment methods were also optimized. At present, the magnetic surgery technique has been applied in the fields of lumen reconstruction, tissue traction exposure and disease tracking and has shown a good application prospect. In hernia and abdominal wall surgery, the technology of magnetic surgery also has the potential to optimize some surgical operations. For example, magnetic navigation can help the hernia patch reach the target site and assist in fixation in endoscopic hernia repair, and the endoscopic surgery can be more minimally invasive with magnetic anchoring technique. In addition, the dissociation of abdominal tissue is more convenient with magnetic traction technique, and magnetic anastomosis technique may play a role in abdominal infection control and abdominal volume reduction surgery.

Key words: Magnetic surgery, Hernia surgery, Abdominal wall surgery, Technique optimization
图1 磁锚定腹腔镜胆囊切除示意图
图2 磁牵引技术在供肝修整中的应用[38]
图3 内镜下磁压榨肠道旁路手术[39]
图4 磁吻合肠造瘘口侧-侧吻合步骤示意图[43]
[1]
Lv Y, Shi Y. Xi'an consensus on magnetic surgery[J]. Hepatobiliary Surg Nutr, 2019, 8(2): 177-178.
[2]
严小鹏，商澎，史爱华, 等. 磁外科学体系的探索与建立[J]. 科学通报, 2019, 64(8): 815-826.
[3]
Obora Y, Tamaki N, Matsumoto S. Nonsuture microvascular anastomosis using magnet rings: preliminary report[J]. Surg Neurol, 1978, 9(2): 117-120.
[4]
Jansen A, Keeman JN, Davies GA, et al. Early experiences with magnetic rings in resection of the distal colon[J]. Neth J Surg, 1980, 32(1): 20-27.
[5]
Jamshidi R, Stephenson JT, Clay JG, et al. Magnamosis: magnetic compression anastomosis with comparison to suture and staple techniques[J]. J Pediatr Surg, 2009, 44(1): 222-228.
[6]
Jansen A, Brummelkamp WH, Davies GA, et al. Clinical applications of magnetic rings in colorectal anastomosis[J]. Surg Gynecol Obstet, 1981, 153(4): 537-545.
[7]
Fan C, Ma J, Zhang HK, et al. Sutureless intestinal anastomosis with a novel device of magnetic compression anastomosis[J]. Chin Med Sci J, 2011, 26(3): 182-189.
[8]
Graves CE, Co C, Hsi RS, et al. Magnetic compression anastomosis(magnamosis): first-in-human trial[J]. J Am Coll Surg, 2017, 225(5): 676-681. e671.
[9]
Bruns NE, Glenn IC, Craner DR, et al. Magnetic compression anastomosis(magnamosis) in a porcine esophagus: Proof of concept for potential application in esophageal atresia[J]. J Pediatr Surg, 2019, 54(3): 429-433.
[10]
Avaliani M, Chigogidze N, Nechipai A, et al. Magnetic compression biliary-enteric anastomosis for palliation of obstructive jaundice: initial clinical results[J]. J Vasc Interv Radiol, 2009, 20(5): 614-623.
[11]
Fan C, Yan XP, Liu SQ, et al. Roux-en-Y choledochojejunostomy using novel magnetic compressive anastomats in canine model of obstructive jaundice[J]. Hepatobiliary Pancreat Dis Int, 2012, 11(1): 81-88.
[12]
Fan C, Zhang H, Yan X, et al. Advanced Roux-en-Y hepaticojejunostomy with magnetic compressive anastomats in obstructive jaundice dog models[J]. Surg Endosc, 2018, 32(2): 779-789.
[13]
Liu XM, Li Y, Zhang HK, et al. Laparoscopic magnetic compression biliojejunostomy: a preliminary clinical study[J]. J Surg Res, 2019, 236: 60-67.
[14]
Liu XM, Yan XP, Zhang HK, et al. Magnetic Anastomosis for biliojejunostomy: first prospective clinical trial[J]. World J Surg, 2018, 42(12): 4039-4045.
[15]
Cui X, Lei P, Liu S, et al. A sutureless method for digestive tract reconstruction during pancreaticoduodenectomy in a dog model[J]. Int J Clin Exp Med, 2015, 8(1): 289-296.
[16]
Liu XM, Li Y, Xiang JX, et al. Magnetic compression anastomosis for biliojejunostomy and pancreaticojejunostomy in Whipple's procedure: An initial clinical study[J]. J Gastroenterol Hepatol, 2019, 34(3): 589-594.
[17]
Itoi T, Yamanouchi E, Ikeda T, et al. Magnetic compression anastomosis: a novel technique for canalization of severe hilar bile duct strictures[J]. Endoscopy, 2005, 37(12): 1248-1251.
[18]
Marubashi S, Nagano H, Yamanouchi E, et al. Salvage cystic duct anastomosis using a magnetic compression technique for incomplete bile duct reconstruction in living donor liver transplantation[J]. Liver Transpl, 2010, 16(1): 33-37.
[19]
Parlak E, Koksal AS, Kucukay F, et al. A novel technique for the endoscopic treatment of complete biliary anastomosis obstructions after liver transplantation: through-the-scope magnetic compression anastomosis[J]. Gastrointest Endosc, 2017, 85(4): 841-847.
[20]
Ellebaek MBB, Qvist N, Rasmussen L. Magnetic compression anastomosis in long-gap esophageal atresia gross type a: a case report[J]. European J Pediatr Surg Rep, 2018, 6(1): e37-e39.
[21]
Dorman RM, Vali K, Harmon CM, et al. Repair of esophageal atresia with proximal fistula using endoscopic magnetic compression anastomosis(magnamosis) after staged lengthening[J]. Pediatr Surg Int, 2016, 32(5): 525-528.
[22]
Klima U, MacVaugh H, Bagaev E, et al. Magnetic vascular port in minimally invasive direct coronary artery bypass grafting[J]. Circulation, 2004, 110(11 Suppl 1): Ii55-60.
[23]
Wang SP, Yan XP, Xue F, et al. Fast magnetic reconstruction of the portal vein with allogeneic blood vessels in canines[J]. Hepatobiliary Pancreat Dis Int, 2015, 14(3): 293-299.
[24]
She ZF, Yan XP, Ma F, et al. Treatment of rectovaginal fistula by magnetic compression[J]. Int Urogynecol J, 2017, 28(2): 241-247.
[25]
Ganz RA, Peters JH, Horgan S, et al. Esophageal sphincter device for gastroesophageal reflux disease[J]. N Engl J Med, 2013, 368(8): 719-727.
[26]
Rivas H, Robles I, Riquelme F, et al. Magnetic surgery: results from first prospective clinical trial in 50 patients[J]. Ann Surg, 2018, 267(1): 88-93.
[27]
Dominguez G, Durand L, De Rosa J, et al. Retraction and triangulation with neodymium magnetic forceps for single-port laparoscopic cholecystectomy[J]. Surg Endosc, 2009, 23(7): 1660-1666.
[28]
Morgan M, Olweny EO, Cadeddu JA. LESS and NOTES instrumentation: future[J]. Curr Opin Urol, 2014, 24(1): 58-65.
[29]
Matsuzaki I, Hattori M, Hirose K, et al. Magnetic anchor-guided endoscopic submucosal dissection for gastric lesions(with video)[J]. Gastrointest Endosc, 2018, 87(6): 1576-1580.
[30]
Carpi F, Pappone C. Stereotaxis Niobe magnetic navigation system for endocardial catheter ablation and gastrointestinal capsule endoscopy[J]. Expert Rev Med Devices, 2009, 6(5): 487-498.
[31]
Khan AY, Berkowitz D, Krimsky WS, et al. Safety of pacemakers and defibrillators in electromagnetic navigation bronchoscopy[J]. Chest, 2013, 143(1): 75-81.
[32]
Sekino M, Kuwahata A, Ookubo T, et al. Handheld magnetic probe with permanent magnet and Hall sensor for identifying sentinel lymph nodes in breast cancer patients[J]. Sci Rep, 2018, 8(1): 1195.
[33]
Ookubo T, Inoue Y, Kim D, et al. Characteristics of magnetic probes for identifying sentinel lymph nodes[J]. Conf Proc IEEE Eng Med Biol Soc, 2013, 2013: 5485-5488.
[34]
Bassil G, Liu CF, Markowitz SM, et al. Comparison of robotic magnetic navigation-guided and manual catheter ablation of ventricular arrhythmias arising from the papillary muscles[J]. Europace, 2018, 20(suppl_2): ii5-ii10.
[35]
Liu XY, Jacobsen PK, Pehrson S, et al. Catheter Ablation of Focal Atrial Tachycardia Using Remote Magnetic Navigation[J]. J Invasive Cardiol, 2018, 30(4): 126-132.
[36]
Lien GS, Wu MS, Chen CN, et al. Feasibility and safety of a novel magnetic-assisted capsule endoscope system in a preliminary examination for upper gastrointestinal tract[J]. Surg Endosc, 2018, 32(4): 1937-1944.
[37]
Rey JF, Ogata H, Hosoe N, et al. Blinded nonrandomized comparative study of gastric examination with a magnetically guided capsule endoscope and standard videoendoscope[J]. Gastrointest Endosc2012, 75(2): 373-381.
[38]
Wang Y, Chen H, Tang B, et al. Magnetic spiderman, a new surgical training device: study of safety and educational value in a liver transplantation surgical training program[J]. World Surg, 2020, 44(4): 1062-1069.
[39]
Machytka E, Bužga M, Zonca P, et al. Partial jejunal diversion using an incisionless magnetic anastomosis system: 1-year interim results in patients with obesity and diabetes[J]. Gastrointest Endosc, 2017, 86(5): 904-912.
[40]
Ryou M, Agoston AT, Thompson CC. Endoscopic intestinal bypass creation by using self-assembling magnets in a porcine model[J]. Gastrointest Endosc, 2016, 83(4): 821-825.
[41]
Ryou M, Aihara H, Thompson CC. Minimally invasive entero-enteral dual-path bypass using self-assembling magnets[J]. Surg Endosc, 2016, 30(10): 4533-4538.
[42]
Toselli L, Martinez-Ferro M, Cervio G, et al. Magnetic Compression Anastomosis(Magnamosis) for Functional Undiversion of Ileostomy in Pediatric Patients[J]. J Laparoendosc Adv Surg Tech A, 2017, 27(12): 1314-1317.
[43]
刘仕琪，赵静儒，高亚, 等. 磁吻合技术在小儿外科领域中的应用[J]. 科学通报, 2020, 65(13): 1264-1273.
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