CN102247185A - Pancreaticobiliary duct combined stent pipe device with magnetic ring for use in pancreatoduodenectomy - Google Patents

Pancreaticobiliary duct combined stent pipe device with magnetic ring for use in pancreatoduodenectomy Download PDF

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Publication number
CN102247185A
CN102247185A CN2011100899396A CN201110089939A CN102247185A CN 102247185 A CN102247185 A CN 102247185A CN 2011100899396 A CN2011100899396 A CN 2011100899396A CN 201110089939 A CN201110089939 A CN 201110089939A CN 102247185 A CN102247185 A CN 102247185A
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Prior art keywords
hole
magnet ring
central
biliary tract
ductus pancreaticus
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CN2011100899396A
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CN102247185B (en
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吕毅
徐军
崔小海
仵正
李建辉
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Xian Jiaotong University
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Xian Jiaotong University
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Abstract

The invention discloses a pancreaticobiliary duct combined stent pipe device with a magnetic ring for use in pancreatoduodenectomy, which comprises a combined stent pipe, and a son magnetic ring and a mother magnetic ring, which are matched with the combined stent pipe. When the pancreaticobiliary duct combined stent pipe device with the magnetic ring for use in pancreatoduodenectomy is used to accomplish the cholangioenterostomy, namely the combined stent pipe with the son and mother magnetic rings is implanted to accomplish binding pancreaticojejunostomy together with biogum, the bile and pancreatic juice can be isolated completely, the pancreatic juice and the bile are activated, the surgical operation is greatly simplified, the operation difficulty is lower, the operation is simple and easy to implement, and the probability of infection of the wound is lowered; in addition, related complications caused by stitching are avoided, operation time can be reduced obviously, the hospital stay of a patient is reduced, corresponding medical cost is reduced, the after-operation pipe detention time is reduced effectively, the life quality of the patient after the operation is improved, and the recovery after the operation is promoted.

Description

The pancreatic duct combined bracket plumbing installation of pancreaticoduodenectomy band magnet ring
Technical field
The invention belongs to technical field of medical instruments, be specifically related to a kind of pancreatic duct combined bracket plumbing installation of pancreaticoduodenectomy band magnet ring.
Background technology
Pancreaticoduodenectomy is one of tool invasive surgery of surgical field, and range of operation is big, and it is many to relate to internal organs, and postoperative still has the complication of higher proportion to take place.Wherein to leak be one of the most common and severe complications after the pancreaticoduodenectomy to the pancreas intestinal anastomotic stoma, and it treats difficult, and prognosis is relatively poor, and mortality rate is higher.In recent years leak domestic Peng Shi cluster pancreas intestinal stapling apparatus and the double layer continuous sleeve type stapling apparatus of occurring in succession at pancreas, and generally use Imaizumi art formula device and improved device thereof etc. abroad, prevent the significant curative effect that plays of pancreas leakage after surgery.But above stapling apparatus need be sewed up grounding in basic skills preferably, and operating time is longer, has run into big resistance on surgical field is promoted.And the main implementation method of this gallbladder intestinal stapling apparatus is that traditional craft coincide, and the complication rate of postoperative biliary tract stenosis is higher, has brought very big misery to the patient.In sum, traditional employed drainage system of pancreaticoduodenectomy exists following shortcoming or deficiency at present:
1. the scope of application is big, and it is many to relate to internal organs, causes operating time longer, has increased the chance of postoperative infection, and it is slower that the postoperative sufferer is recovered;
2. the difficulty of coincideing is bigger, and the patient need have the identical grounding in basic skills of suture preferably, and it is big that surgical field is promoted resistance;
3. adopt the anastomotic leakage incidence rate height of these devices, complication is serious;
4. adopt the sufferer hospital stays of these devices longer, it is long that band is managed particularly the ductus pancreaticus support tube time of staying, the increase medical expense, and postoperative life quality is affected bigger.
Summary of the invention
In order to overcome the deficiency that above-mentioned prior art exists, the object of the present invention is to provide a kind of pancreatic duct combined bracket plumbing installation of pancreaticoduodenectomy band magnet ring, this device is not only simplified operation technique greatly, lower operating difficulty, simple and easy to do, reduced the chance of wound infection, and the related complication that can avoid the suture reason to cause, and can obviously reduce operating time, and shorten patient's hospital stays, reduce corresponding medical expense, effectively be with the pipe time after the desmopyknosis, improve postoperative sufferer quality of life, also help the fast quick-recovery of postoperative, and be easy to clinical expansion.
In order to achieve the above object, the technical solution adopted in the present invention is:
A kind of pancreatic duct combined bracket plumbing installation of pancreaticoduodenectomy band magnet ring, comprise hollow tubular biliary tract prosthesis 1, in biliary tract prosthesis 1 inside along pipe to the ductus pancreaticus support 2 that is furnished with the tubulose body, one end of this ductus pancreaticus support 2 is to run through the oblique hook end that stretches out biliary tract prosthesis 1 outer wall, and the other end of ductus pancreaticus support 2 is to run through the Guan Xiangduan that stretches out biliary tract prosthesis 1 one ends, biliary tract prosthesis 1 and ductus pancreaticus support 2 have constituted the combined bracket pipeline, also have in addition and suitable female magnet ring 3 and the sub-magnet ring 4 of this combined bracket pipeline.
Described female magnet ring 3 is for having the column structure of double-deck central through-hole, this bilayer central through-hole is ground floor central through-hole 6 and the second layer central through-hole 7 that is interconnected, ground floor central through-hole 6 is bigger than the aperture of second layer central through-hole 7, and second layer central through-hole 7 can be with ductus pancreaticus support 2 interference fit in addition.
Described sub-magnet ring 4 is for having the column structure of monolayer central through-hole 5, and this monolayer central through-hole 5 can be with ductus pancreaticus support 2 interference fit.
Described biliary tract prosthesis 1 and ductus pancreaticus support 2 materials are silica gel, and biliary tract prosthesis 1 and ductus pancreaticus support 2 support tubes have 3-4 biliary tract prosthesis side opening 8 and 3-4 ductus pancreaticus support side opening 9 respectively.
Finishing the gallbladder intestinal by the pancreatic duct combined bracket plumbing installation that utilizes pancreaticoduodenectomy band magnet ring coincide, just insert the combined bracket pipeline that has female magnet ring 3 and sub-magnet ring 4, finishing the pancreas intestine bundling formula in conjunction with biogum coincide, reach simultaneously and isolate bile and pancreatic juice fully, avoid pancreatic juice bile to activate, simplify operation technique greatly, lower operating difficulty, simple and easy to do, reduced the chance of wound infection, and the related complication that can avoid the suture reason to cause, and can obviously reduce operating time, shorten patient's hospital stays, reduce corresponding medical expense, effective band pipe time after the desmopyknosis, improve postoperative sufferer quality of life, also help the fast quick-recovery of postoperative.
Description of drawings
Fig. 1 is an operation principle connection status sketch map of the present invention.
Fig. 2 is the structural representation of female magnet ring of the present invention.
Fig. 3 is the structural representation of sub-magnet ring of the present invention.
Fig. 4 is the structural representation of combined bracket of the present invention.
The specific embodiment
The present invention will be described in more detail below in conjunction with accompanying drawing.
As shown in Figure 1, the pancreatic duct combined bracket plumbing installation of pancreaticoduodenectomy band magnet ring, comprise hollow tubular biliary tract prosthesis 1, in biliary tract prosthesis 1 inside along pipe to the ductus pancreaticus support 2 that is furnished with the tubulose body, one end of this ductus pancreaticus support 2 is to run through the oblique hook end that stretches out biliary tract prosthesis 1 outer wall, and the other end of ductus pancreaticus support 2 is to run through the Guan Xiangduan that stretches out biliary tract prosthesis 1 one ends, biliary tract prosthesis 1 and ductus pancreaticus support 2 have constituted the combined bracket pipeline, also have in addition and suitable female magnet ring 3 and the sub-magnet ring 4 of this combined bracket pipeline.As shown in Figure 2, described female magnet ring 3 is for having the column structure of double-deck central through-hole, this bilayer central through-hole is ground floor central through-hole 6 and the second layer central through-hole 7 that is interconnected, ground floor central through-hole 6 is bigger than the aperture of second layer central through-hole 7, and second layer central through-hole 7 can be with ductus pancreaticus support 2 interference fit in addition.As shown in Figure 3, described sub-magnet ring 4 is for having the column structure of monolayer central through-hole 5, and this monolayer central through-hole 5 can be with ductus pancreaticus support 2 interference fit.As shown in Figure 4, described biliary tract prosthesis 1 and ductus pancreaticus support 2 materials are silica gel, and biliary tract prosthesis 1 and ductus pancreaticus support 2 support tubes have 3-4 biliary tract prosthesis side opening 8 and 3-4 ductus pancreaticus support side opening 9 respectively.
Operation principle of the present invention is: behind the excision pancreas duodenum, the combined bracket pipeline is passed female magnet ring 3, penetrate jejunum with the combined bracket pipeline that is about to pass female magnet ring 3 at the intestinal wall place that desire row gallbladder intestinal coincide, and pass from the near section jejunum broken ends of fractured bone, after passing from the near section jejunum broken ends of fractured bone, this combined bracket pipeline passes sub-magnet ring 4 as shown in Figure 1 again, to pass the combined bracket pipeline of female magnet ring 3 and sub-magnet ring 4 then inserts in the ductus pancreaticus, reuse absorbable thread fixing joint support pipeline, the then nearly section of the jejunum broken ends of fractured bone 3cm that turns up, the intestinal tube mucosa that will turn up destroys, and is complete with biogum bonding mucosa edge and pancreas broken ends of fractured bone tissue, and the intestinal tube bag quilt that will turn up is in pancreatic tissue, and it is identical with the capable cluster pancreas of absorbable suture intestinal, the combined bracket pipeline is inserted bile duct, by through stones in intrahepatic bile duct outside liver diaphragmatic surface lead body, with while bile drainage and pancreatic juice, use the purse string suture ligation common hepatic duct broken ends of fractured bone at last, place in the double-deck centre bore 6 of female magnet ring 3, with female magnet ring 3 and 4 butt joints of sub-magnet ring, complete operation.

Claims (4)

1. the pancreatic duct combined bracket plumbing installation of a pancreaticoduodenectomy band magnet ring, comprise hollow tubular biliary tract prosthesis (1), it is characterized in that: biliary tract prosthesis (1) inner along pipe to the ductus pancreaticus support (2) that is furnished with the tubulose body, one end of this ductus pancreaticus support (2) is for running through the oblique hook end that stretches out biliary tract prosthesis (1) outer wall, and the other end of ductus pancreaticus support (2) is for running through the Guan Xiangduan that stretches out biliary tract prosthesis (1) one end, biliary tract prosthesis (1) and ductus pancreaticus support (2) have constituted the combined bracket pipeline, also have in addition and suitable female magnet ring (3) and the sub-magnet ring (4) of this combined bracket pipeline.
2. the pancreatic duct combined bracket plumbing installation of pancreaticoduodenectomy band magnet ring according to claim 1, it is characterized in that: described female magnet ring (3) is for having the column structure of double-deck central through-hole, this bilayer central through-hole is ground floor central through-hole (6) and the second layer central through-hole (7) that is interconnected, ground floor central through-hole (6) is bigger than the aperture of second layer central through-hole (7), and second layer central through-hole (7) can be with ductus pancreaticus support (2) interference fit in addition.
3. according to the pancreatic duct combined bracket plumbing installation of claim 1 or the described pancreaticoduodenectomy band of claim 2 magnet ring, it is characterized in that: described sub-magnet ring (4) is for having the column structure of monolayer central through-hole (5), and this monolayer central through-hole (5) can be with ductus pancreaticus support (2) interference fit.
4. according to the pancreatic duct combined bracket plumbing installation of claim 1 or the described pancreaticoduodenectomy band of claim 2 magnet ring, it is characterized in that: described biliary tract prosthesis (1) and ductus pancreaticus support (2) material are silica gel, and biliary tract prosthesis (1) and ductus pancreaticus support (2) support tube have 3-4 biliary tract prosthesis side opening (8) and 3-4 ductus pancreaticus support side opening (9) respectively.
CN 201110089939 2011-04-11 2011-04-11 Pancreaticobiliary duct combined stent pipe device with magnetic ring for use in pancreatoduodenectomy Active CN102247185B (en)

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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104922785A (en) * 2014-03-19 2015-09-23 中国人民解放军第二军医大学 Fistulization decompression tube for biliopancreatic supporting drainage jejunum
CN106726000A (en) * 2016-12-22 2017-05-31 中国人民解放军第二军医大学 For the alimentary canal connector of reconstruction of digestive tract in duodenectomy
CN107349037A (en) * 2016-05-05 2017-11-17 中国人民解放军第二军医大学 Major-minor ductus pancreaticus combined bracket
CN110559493A (en) * 2019-10-22 2019-12-13 张斌 a put a tub drainage device for biliopancreatic surgery
CN111407462A (en) * 2020-02-26 2020-07-14 邹洪 Novel courage pancreatic duct support of fibroin material preparation
CN112603423A (en) * 2020-12-25 2021-04-06 苏州凝智新材料发展有限公司 Magnetic glue combined vascular reconstruction combined device and application thereof
RU2779006C1 (en) * 2021-10-04 2022-08-30 Федеральное государственное бюджетное образовательное учреждение высшего образования "Ярославский государственный медицинский университет" Министерства здравоохранения Российской Федерации Method for formation of pancreatogastroanastomosis during pancreatoduodenal resection

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US20030120292A1 (en) * 2001-06-20 2003-06-26 Park Medical, Llc Anastomotic device
CN2619659Y (en) * 2003-04-30 2004-06-09 上海淞行实业有限公司 Irrigating drainage tube with sleeve for abdominal cavity
CN201481480U (en) * 2009-07-30 2010-05-26 刘忠臣 Improved pancreas-intestine binding invaginated anastomosis device
CN101884556A (en) * 2010-07-01 2010-11-17 西安交通大学 Magnetic device provided with support for cholangio-jejunostomy and end-to-side intestinal anastomosis

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030120292A1 (en) * 2001-06-20 2003-06-26 Park Medical, Llc Anastomotic device
CN2619659Y (en) * 2003-04-30 2004-06-09 上海淞行实业有限公司 Irrigating drainage tube with sleeve for abdominal cavity
CN201481480U (en) * 2009-07-30 2010-05-26 刘忠臣 Improved pancreas-intestine binding invaginated anastomosis device
CN101884556A (en) * 2010-07-01 2010-11-17 西安交通大学 Magnetic device provided with support for cholangio-jejunostomy and end-to-side intestinal anastomosis

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104922785A (en) * 2014-03-19 2015-09-23 中国人民解放军第二军医大学 Fistulization decompression tube for biliopancreatic supporting drainage jejunum
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
CN107349037A (en) * 2016-05-05 2017-11-17 中国人民解放军第二军医大学 Major-minor ductus pancreaticus combined bracket
CN107349037B (en) * 2016-05-05 2023-10-13 中国人民解放军第二军医大学 Main and auxiliary pancreatic duct combined bracket
CN106726000A (en) * 2016-12-22 2017-05-31 中国人民解放军第二军医大学 For the alimentary canal connector of reconstruction of digestive tract in duodenectomy
CN106726000B (en) * 2016-12-22 2018-03-06 中国人民解放军第二军医大学 Alimentary canal connector for reconstruction of digestive tract in duodenectomy
CN110559493A (en) * 2019-10-22 2019-12-13 张斌 a put a tub drainage device for biliopancreatic surgery
CN110559493B (en) * 2019-10-22 2022-05-03 徐州医科大学附属医院 A put a tub drainage device for biliopancreatic surgery
CN111407462A (en) * 2020-02-26 2020-07-14 邹洪 Novel courage pancreatic duct support of fibroin material preparation
CN112603423A (en) * 2020-12-25 2021-04-06 苏州凝智新材料发展有限公司 Magnetic glue combined vascular reconstruction combined device and application thereof
RU2779006C1 (en) * 2021-10-04 2022-08-30 Федеральное государственное бюджетное образовательное учреждение высшего образования "Ярославский государственный медицинский университет" Министерства здравоохранения Российской Федерации Method for formation of pancreatogastroanastomosis during pancreatoduodenal resection
RU2813152C1 (en) * 2023-06-16 2024-02-06 федеральное государственное бюджетное образовательное учреждение высшего образования "Волгоградский государственный медицинский университет" Министерства здравоохранения Российской Федерации Method of treating pancreatic hypertension in patients with chronic pancreatitis

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