CN101548903B - Biliary-enteric anastomosis support tube - Google Patents
Biliary-enteric anastomosis support tube Download PDFInfo
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- CN101548903B CN101548903B CN2009100964275A CN200910096427A CN101548903B CN 101548903 B CN101548903 B CN 101548903B CN 2009100964275 A CN2009100964275 A CN 2009100964275A CN 200910096427 A CN200910096427 A CN 200910096427A CN 101548903 B CN101548903 B CN 101548903B
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- tube
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- bile duct
- support tube
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- 230000003872 anastomosis Effects 0.000 title claims abstract description 30
- 210000000013 bile duct Anatomy 0.000 claims abstract description 28
- 210000000813 small intestine Anatomy 0.000 claims abstract description 12
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims abstract description 5
- 239000000741 silica gel Substances 0.000 claims abstract description 5
- 229910002027 silica gel Inorganic materials 0.000 claims abstract description 5
- 208000035965 Postoperative Complications Diseases 0.000 abstract description 2
- 238000004904 shortening Methods 0.000 abstract 1
- 230000000968 intestinal effect Effects 0.000 description 12
- 210000000941 bile Anatomy 0.000 description 9
- 238000000034 method Methods 0.000 description 7
- 210000003815 abdominal wall Anatomy 0.000 description 2
- 210000003736 gastrointestinal content Anatomy 0.000 description 2
- 210000004185 liver Anatomy 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 239000002994 raw material Substances 0.000 description 2
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 206010067171 Regurgitation Diseases 0.000 description 1
- 238000012084 abdominal surgery Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000003445 biliary tract Anatomy 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 210000001630 jejunum Anatomy 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
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- Prostheses (AREA)
- Surgical Instruments (AREA)
- Materials For Medical Uses (AREA)
Abstract
一种胆肠吻合支撑管，其特征在于：包括一硅胶制成的通管，所述的通管包括用于吻合胆管和小肠的吻合端和连通体外的引流端，所述的吻合端的通管外表面有捆扎胆管的第一突环和用于捆扎小肠的第二突环，所述的通管位于小肠的部分开有一侧孔，所述的通管的吻合端连接有与胆管的分叉结构对应的叉管。本发明具有能简化胆肠吻合、缩短吻合时间、减少术后并发症的优点。
A support tube for cholangioenterostomy, characterized in that it includes a through tube made of silica gel, the through tube includes an anastomotic end for anastomosis of the bile duct and small intestine and a drainage end connected to the outside of the body, the through tube at the anastomotic end The outer surface has a first protruding ring for binding the bile duct and a second protruding ring for binding the small intestine, the part of the through tube located in the small intestine has a hole on one side, and the anastomotic end of the through tube is connected with the bifurcation of the bile duct The structure corresponds to the fork tube. The invention has the advantages of simplifying biliary-enteric anastomosis, shortening the anastomosis time and reducing postoperative complications.
Description
(一)技术领域(1) Technical field
本发明涉及一种用于胆肠吻合支撑管，能简化胆肠吻合，提高胆肠吻合的安全性。The invention relates to a support tube for biliary-enterostomy, which can simplify biliary-enterostomy and improve the safety of biliary-enterostomy.
(二)技术背景(2) Technical background
胆肠吻合是腹部外科常见的一种手术，但这种吻合技术还存在很多不足。首先，现有的胆肠吻合采用间断缝合或连续缝合的方法完成吻合，由于胆管位置固定，手术操作区域位置较深，实施困难；其次，吻合术后胆漏的发生率较高，尤其遇到直径较小的胆管时，而且吻合后容易出现吻合口狭窄。Biliary-enteric anastomosis is a common operation in abdominal surgery, but there are still many deficiencies in this anastomotic technique. First of all, the existing cholangioenterostomy uses interrupted suture or continuous suture to complete the anastomosis. Due to the fixed position of the bile duct and the deep operation area, it is difficult to implement; secondly, the incidence of bile leakage after anastomosis is high, especially in the case of When the diameter of the bile duct is small, and the anastomotic stricture is prone to occur after anastomosis.
(三)发明内容(3) Contents of the invention
本发明要解决现有胆肠吻合的上述不足，本发明提供了一种能简化胆肠吻合、缩短吻合时间、减少术后并发症的支撑管。The present invention aims to solve the above-mentioned shortcomings of the existing biliary-enterostomy, and the present invention provides a support tube that can simplify the biliary-enterostomy, shorten the anastomosis time, and reduce postoperative complications.
一种胆肠吻合支撑管，其特征在于：包括一硅胶制成的通管，所述的通管包括用于吻合胆管和小肠的吻合端和连通体外的引流端，所述的吻合端的通管外表面有捆扎胆管的第一突环和用于捆扎小肠的第二突环，所述的通管位于小肠的部分开有一侧孔，所述的通管的吻合端连接有与胆管的分叉结构对应的叉管。A support tube for cholangioenterostomy, characterized in that it includes a through tube made of silica gel, the through tube includes an anastomotic end for anastomosis of the bile duct and small intestine and a drainage end connected to the outside of the body, the through tube at the anastomotic end The outer surface has a first protruding ring for binding the bile duct and a second protruding ring for binding the small intestine, the part of the through tube located in the small intestine has a side hole, and the anastomotic end of the through tube is connected with the bifurcation of the bile duct The structure corresponds to the fork tube.
吻合时，先在胆管断端及肠壁上分别做荷包缝合，通过荷包缝合，将胆管断端和肠壁固定的支撑管两个突环之间，使胆管断端与肠壁接触，完成吻合。支撑管的另一端经过肠壁和腹壁引出体外。吻合后肝脏分泌的胆汁进入支撑管，通过制成管上的侧孔进入肠腔，部分胆汁经过支撑管进入体外接支撑管的引流袋。制成管术后放置3月后拔除。此吻合方法简单可靠，而且吻合后吻合口牢靠。由于支撑管制造工艺简单，原材料价格非常便宜，整个手术费用低。During the anastomosis, purse-string sutures are first made on the broken end of the bile duct and the intestinal wall, and the broken end of the bile duct and the intestinal wall are fixed between the two protruding rings of the support tube through the purse-string suture, so that the broken end of the bile duct is in contact with the intestinal wall to complete the anastomosis . The other end of the support tube is led out of the body through the intestinal wall and abdominal wall. After the anastomosis, the bile secreted by the liver enters the support tube, enters the intestinal cavity through the side hole on the tube, and part of the bile enters the drainage bag connected to the support tube outside the body through the support tube. After the tube was made, it was placed for 3 months and then pulled out. This anastomosis method is simple and reliable, and the anastomosis is firm after anastomosis. Because the manufacturing process of the support tube is simple, the price of raw materials is very cheap, and the cost of the whole operation is low.
本发明的有益效果：1、吻合方法简单，传统吻合方法需要绕吻合口逐针致密缝合，操作繁琐，而且由于吻合口位置较深，往往缝合都较为困难，尤其当遇到细小胆管，手术难度非常大，而这种技术仅需在胆管断端和肠壁上做两个荷包缝合，容易实施；2、吻合后荷包线绕胆管肠壁一周，将吻合口固定在硅胶上，利用线的张力及硅胶管的弹性将管腔封闭，有效地将吻合口与胆汁、肠道内容物隔绝，有利于吻合口的生长；3、支架的内支撑作用可以有效防止术后吻合口狭窄，保证胆汁排除通畅；4、空肠内支撑管上留有侧孔，排出的胆汁经过此孔进入消化道，避免了胆汁的丢失；5、侧孔与放入胆管内的开口有一定距离(10cm)，能减少肠内容物反流入胆道。Beneficial effects of the present invention: 1. The anastomosis method is simple. The traditional anastomosis method needs to be stitched densely around the anastomosis one by one. It is very large, and this technique only needs to do two purse-string sutures on the bile duct stump and the intestinal wall, which is easy to implement; 2. After the anastomosis, the purse-string suture wraps around the bile duct and intestinal wall for one week, and the anastomosis is fixed on the silica gel, and the tension of the thread is used to And the elasticity of the silicone tube seals the lumen, effectively isolating the anastomotic stoma from bile and intestinal contents, which is conducive to the growth of the anastomotic stoma; 3. The internal support function of the stent can effectively prevent postoperative anastomotic stoma narrowing and ensure
(四)附图说明(4) Description of drawings
图1是本发明未安装叉管的正视图Fig. 1 is the front view of the present invention without installing the fork pipe
图2是本发明的正视图Fig. 2 is the front view of the present invention
图3是本发明的使用状态示意图Fig. 3 is a schematic diagram of the use state of the present invention
(五)具体实施方式(5) Specific implementation methods
参照附图1、2：Referring to attached
一种胆肠吻合支撑管，包括一硅胶制成的通管1，所述的通管1包括用于吻合胆管和小肠的吻合端11和连通体外的引流端12，所述的吻合端的通管外表面有捆扎胆管的第一突环21和用于捆扎小肠的第二突环22，所述的通管1位于小肠的部分开有一侧孔3。所述的通管1的吻合端11连接有与胆管的分叉结构对应的叉管4。A support tube for biliary-enteric anastomosis, comprising a through-
吻合时，先在胆管断端及肠壁上分别做荷包缝合，通过荷包缝合，将胆管断端和肠壁固定的支撑管两个突环之间，使胆管断端与肠壁接触，完成吻合。支撑管的另一端经过肠壁和腹壁引出体外。吻合后肝脏分泌的胆汁进入支撑管，通过制成管上的侧孔进入肠腔，部分胆汁经过支撑管进入体外接支撑管的引流袋。制成管术后放置3月后拔除。此吻合方法简单可靠，而且吻合后吻合口牢靠。由于支撑管制造工艺简单，原材料价格非常便宜，整个手术费用低。During the anastomosis, purse-string sutures are first made on the broken end of the bile duct and the intestinal wall, and the broken end of the bile duct and the intestinal wall are fixed between the two protruding rings of the support tube through the purse-string suture, so that the broken end of the bile duct is in contact with the intestinal wall to complete the anastomosis . The other end of the support tube is led out of the body through the intestinal wall and abdominal wall. After the anastomosis, the bile secreted by the liver enters the support tube, enters the intestinal cavity through the side hole on the tube, and part of the bile enters the drainage bag connected to the support tube outside the body through the support tube. After the tube was made, it was placed for 3 months and then pulled out. This anastomosis method is simple and reliable, and the anastomosis is firm after anastomosis. Because the manufacturing process of the support tube is simple, the price of raw materials is very cheap, and the cost of the whole operation is low.
本实施例的技术方案特别适用于当吻合位置靠近胆管的分叉处。此时，因露出的胆管短，胆管断处紧连着分叉，胆管难以捆扎到通管的突环上，手术效果不好。本实施例的技术方案可以很好地适应胆管分叉的环境。The technical solution of this embodiment is especially suitable for when the anastomotic position is close to the bifurcation of the bile duct. At this time, because the exposed bile duct is short and the broken part of the bile duct is closely connected with the bifurcation, it is difficult to bind the bile duct to the protruding ring of the duct, and the operation effect is not good. The technical solution of this embodiment can be well adapted to the environment of bile duct bifurcation.
本实施例仅供说明本发明的技术方案，而非对本发明的保护范围的限制，本领域的普通技术人员，在不脱离本发明的构思范围的情况下还可以做出各种变化，所有的等同技术方案也属于本发明的范围，本发明的保护范围应当由权利要求书限定。This embodiment is only for illustrating the technical scheme of the present invention, rather than limiting the scope of protection of the present invention, those of ordinary skill in the art can also make various changes without departing from the conceptual scope of the present invention, all Equivalent technical solutions also belong to the scope of the present invention, and the protection scope of the present invention should be defined by the claims.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2009100964275A CN101548903B (en) | 2009-03-03 | 2009-03-03 | Biliary-enteric anastomosis support tube |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2009100964275A CN101548903B (en) | 2009-03-03 | 2009-03-03 | Biliary-enteric anastomosis support tube |
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| Publication Number | Publication Date |
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| CN101548903A CN101548903A (en) | 2009-10-07 |
| CN101548903B true CN101548903B (en) | 2012-08-22 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN2009100964275A Active CN101548903B (en) | 2009-03-03 | 2009-03-03 | Biliary-enteric anastomosis support tube |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN104922785B (en) * | 2014-03-19 | 2018-05-01 | 中国人民解放军第二军医大学 | Courage pancreas supporting drainage jejunum stoma relief pipe |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4182339A (en) * | 1978-05-17 | 1980-01-08 | Hardy Thomas G Jr | Anastomotic device and method |
| CN2077311U (en) * | 1990-11-29 | 1991-05-22 | 吴泽钧 | Y-t type drainage-washing tube for liver and gall |
| CN2323752Y (en) * | 1997-12-31 | 1999-06-16 | 李风 | Histocompatibility reinforced Y shape internal support for biliary tract portal area |
| CN1470294A (en) * | 2003-07-07 | 2004-01-28 | �й���ѧԺ����Ӧ�û�ѧ�о��� | Biodegradable common bile duct built-in stent and preparation method thereof |
| CN2774403Y (en) * | 2004-11-30 | 2006-04-26 | 林兆丰 | Anastomatic drainage tube for biliary and intestinal track anastomosis |
| CN1792336A (en) * | 2005-12-23 | 2006-06-28 | 西安交通大学 | Stent used for cholangiojejunostomy |
| CN1965767A (en) * | 2005-11-14 | 2007-05-23 | 浙江大学 | Biliary duct jejunum anastomotic scaffold |
| CN201361067Y (en) * | 2009-03-03 | 2009-12-16 | 蔡秀军 | Biliointestinal anastomosis supporting tube |
-
2009
- 2009-03-03 CN CN2009100964275A patent/CN101548903B/en active Active
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4182339A (en) * | 1978-05-17 | 1980-01-08 | Hardy Thomas G Jr | Anastomotic device and method |
| CN2077311U (en) * | 1990-11-29 | 1991-05-22 | 吴泽钧 | Y-t type drainage-washing tube for liver and gall |
| CN2323752Y (en) * | 1997-12-31 | 1999-06-16 | 李风 | Histocompatibility reinforced Y shape internal support for biliary tract portal area |
| CN1470294A (en) * | 2003-07-07 | 2004-01-28 | �й���ѧԺ����Ӧ�û�ѧ�о��� | Biodegradable common bile duct built-in stent and preparation method thereof |
| CN2774403Y (en) * | 2004-11-30 | 2006-04-26 | 林兆丰 | Anastomatic drainage tube for biliary and intestinal track anastomosis |
| CN1965767A (en) * | 2005-11-14 | 2007-05-23 | 浙江大学 | Biliary duct jejunum anastomotic scaffold |
| CN1792336A (en) * | 2005-12-23 | 2006-06-28 | 西安交通大学 | Stent used for cholangiojejunostomy |
| CN201361067Y (en) * | 2009-03-03 | 2009-12-16 | 蔡秀军 | Biliointestinal anastomosis supporting tube |
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Effective date of registration: 20180514 Address after: 310058 zhe Da Road, Xihu District, Hangzhou, Zhejiang Province, No. 38 Patentee after: Zhejiang University Address before: No. 3 Qingchun East Road, Hangzhou, Zhejiang Province Patentee before: Cai Xiujun |
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