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A novel magnetic device for laparoscopic cholangiojejunostomy
Hongke Zhang1, Fei Xue1, Jing Zhang1
1Institute of Advanced Surgical Technology and Engineering, Department of Hepatobiliary Surgery, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, P. R. China.
The Journal of Surgical Research
|October 8, 2017
Summary
This study demonstrates that laparoscopic cholangiojejunostomy (LCJ) is feasible in dogs using a novel magnetic compression device (MCD). The magnetic compression device simplifies the LCJ procedure, offering a potentially easier method for surgeons.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
- Surgical Devices
Background:
- Laparoscopic cholangiojejunostomy (LCJ) is a complex procedure requiring extensive surgical expertise.
- Mastering the hand-sewn technique for LCJ is time-consuming and technically demanding.
Purpose of the Study:
- To evaluate the feasibility of performing LCJ using a novel magnetic compression device (MCD).
- To assess the efficacy of the MCD in a canine model simulating bile duct obstruction.
Main Methods:
- A novel MCD was designed based on the purse-string technique of circular staplers.
- LCJ using the MCD was performed on four dogs with induced bile duct obstruction (10 mm diameter).
- Anastomotic time and magnet expulsion time were recorded.
Main Results:
- LCJ with the MCD resulted in patent anastomoses in a clinically relevant canine model.
- The procedure was simplified, with a mean anastomotic time of 12.9 ± 1.73 minutes.
- All dogs recovered without complications, and magnets passed rectally within 14.5 ± 2.08 days.
Conclusions:
- Laparoscopic cholangiojejunostomy using the novel magnetic compression device is feasible in dogs.
- The MCD offers a simpler and potentially faster alternative for LCJ compared to traditional methods.
