New anastomosis technique for (laparoscopic) instrumental small-diameter anastomosis

Surg Endosc. 1995 Apr;9(4):444-9. doi: 10.1007/BF00187172.

Abstract

This study presents a new technique for visceral anastomosis. The principle consists of connecting the two parts to be anastomosed around a reabsorbable stent which is transluminally introduced into small-diameter viscus, where it is fixed. Advancing a larger tube along the axis of the machine, the larger, perforated viscus is inverted and pulled over the stent, and finally a rubber band pops off the machine endoluminally in order to fix the intestinal walls in seroserosal contact onto the stent. To evaluate this "micro" anastomosis, a biliary bypass (choledochojejunostomy and roux-en-y-loop) was performed in ten pigs. Nine of ten animals showed biliary bypass with good runoff in contrast radiography and completely reabsorbed stent after a 3-month follow-up. Weight gain, bilirubin, and alkaline phosphatase were normal. This technology demonstrates a safe and quick way to perform instrumental "micro" anastomosis without remnant foreign material.

MeSH terms

  • Anastomosis, Roux-en-Y / instrumentation
  • Anastomosis, Roux-en-Y / methods
  • Anastomosis, Surgical / instrumentation
  • Anastomosis, Surgical / methods*
  • Animals
  • Biliary Tract Surgical Procedures / instrumentation
  • Biliary Tract Surgical Procedures / methods*
  • Choledochostomy / instrumentation
  • Choledochostomy / methods
  • Equipment Design
  • Female
  • Swine