Abstract:
Magnetic compression anastomosis (MCA) is a new method that provides sutureless passage construction for tubular organs. Due to the high recurrence rate of conventional endoscopic treatment and the high morbidity and mortality of surgical procedures, the MCA technique shows promise. The aim of this review is to comprehensively examine the literature related to the use of MCA in different gastrointestinal diseases over the past few years, categorizing them according to the anastomotic site and describing in detail the various methods of magnet delivery and the clinical outcomes of MCA. MCA is an innovative technique, and its use represents an advancement in the field of minimally invasive interventions. Comparison studies have shown that the anastomosis formed by MCA is comparable to or better than surgical sutures in terms of general appearance and histology. Although most of the current research has involved animal studies or studies with small populations, the safety and feasibility of MCA have been preliminarily demonstrated. Large prospective studies involving populations are still needed to guarantee the security of MCA. For technologies that have been initially used in clinical settings, effective measures should also be implemented to identify, even prevent, complications. Furthermore, specific commercial magnets must be created and optimized in this emerging area.
摘要:
磁压缩吻合术(MCA)是一种为管状器官提供无缝线通道结构的新方法。由于常规内镜治疗的复发率高,手术的致残率和死亡率高,MCA技术显示出希望。这篇综述的目的是全面审查过去几年中有关MCA在不同胃肠道疾病中使用的文献,根据吻合部位对它们进行分类,并详细描述各种磁体输送方法和MCA的临床结果。MCA是一项创新技术,它的使用代表了微创干预领域的进步。比较研究表明,MCA形成的吻合在一般外观和组织学方面与手术缝合线相当或更好。尽管目前的大多数研究都涉及动物研究或小种群研究,初步论证了MCA的安全性和可行性。仍然需要涉及人群的大型前瞻性研究来保证MCA的安全。对于最初在临床环境中使用的技术,还应采取有效措施,甚至预防,并发症。此外,必须在这个新兴领域创建和优化特定的商业磁体。