Background: Magnetic compression anastomosis (MCA) offers a simple and reliable technique for inducing anastomoses at any point along the digestive tract. Evidence regarding whether the design of the MCA device influences the anastomosis effect is lacking.
Aim: To investigate any difference in the side-to-side colonic anastomosis effect achieved with cylindrical circular ring magnets.
Methods: We designed cylindrical and circular ring magnets suitable for side-to-side colonic anastomosis in rats. Thirty Sprague-Dawley rats were randomly divided into a cylindrical group, circular ring group, and cylindrical-circular ring group ( = 10/group). Side-to-side colonic anastomosis was completed by transanal insertion of the magnets without incision of the colon. Operation time, perioperative complications, and magnet discharge time were recorded. Rats were euthanized 4 weeks post-operatively, and anastomotic specimens were obtained. The burst pressure and anastomotic diameter were measured sequentially, and anastomosis formation was observed by naked eye. Histological results were observed by light microscopy.
Results: In all 30 rats, side-to-side colonic anastomosis was completed, for an operation success rate of 100%. No postoperative complications of bleeding and intestinal obstruction occurred, and the postoperative survival rate were 100%. The operation time, magnet discharge time, anastomotic bursting pressure, and anastomotic diameter did not differ significantly among the three designs ( > 0.05). Healing was similar across the groups, with gross specimens showing good anastomotic healing and good mucosal continuity observed on histological analysis.
Conclusion: This study found no significant difference in the establishment of rat side-to-side colonic anastomosis with the use of cylindrical circular ring magnets.
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http://dx.doi.org/10.4240/wjgs.v17.i2.94270 | DOI Listing |
Cureus
February 2025
General Surgery, Toowoomba Hospital, QLD, AUS.
Volvulus of the splenic flexure is a rare cause of large bowel obstruction. We present the case of a male in his mid-20s who presented with a three-day history of colicky left-sided abdominal pain. A computed tomography scan revealed severely dilated large bowel loops with a closed-loop obstruction in the left upper quadrant, which was thought to originate from the transverse colon.
View Article and Find Full Text PDFWorld J Gastrointest Surg
February 2025
Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China.
Background: Magnetic compression anastomosis (MCA) offers a simple and reliable technique for inducing anastomoses at any point along the digestive tract. Evidence regarding whether the design of the MCA device influences the anastomosis effect is lacking.
Aim: To investigate any difference in the side-to-side colonic anastomosis effect achieved with cylindrical circular ring magnets.
World J Gastroenterol
March 2025
Department of Gastroenterology, University Hospital of Larisa, Larisa 41100, Greece.
We recently read with interest the article by Chi published in the . In this article, the authors reported a novel technique for re-establishing luminal continuity in a completely occluded colorectal anastomosis involving two endoscopes, one for radial electrical incision and the other serving as a guide light. However, this technique can be applied only in selected cases.
View Article and Find Full Text PDFSurgery
March 2025
Department of Gastrointestinal Surgery, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China. Electronic address:
Background: Patients with ultra-low rectal cancer who underwent sphincter-preserving surgery are at high risk of poor anal function. Sphincter preservation in ultra-low rectal cancer poses significant challenges, and there is limited research exploring the impact of colonic J-pouch reconstruction on anal function in such patients. Given these challenges, the objective of this study was to assess the impact of colonic J-pouch reconstruction on quality of life and bowel function in patients who underwent sphincter-preserving surgery for ultra-low rectal cancer.
View Article and Find Full Text PDFSurg Endosc
March 2025
Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, State Key Lab of Digestive Health, National Clinical Research Center for Digestive Diseases, No.95 Yongan Road, Xicheng District, Beijing, 100050, China.
Background: Laparoscopic right hemicolectomy (RHC) is the primary surgical approach for right-sided colon cancer. Different ileo-colonic anastomosis techniques may lead to varied postoperative outcomes. This study aims to compare intracorporeal versus extracorporeal side-to-side anastomosis post laparoscopic RHC for short-term outcomes in right-sided colon cancer patients.
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