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Optimization of tracheoesophageal fistula model established with Tshaped magnet system based on magnetic compression technique
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作者 Miao-Miao Zhang Jian-Qi Mao +5 位作者 Lin-Xin Shen Ai-Hua Shi Xin Lyu Jia Ma Yi Lyu Xiao-Peng Yan 《World Journal of Gastroenterology》 SCIE CAS 2024年第16期2272-2280,共9页
BACKGROUND The magnetic compression technique has been used to establish an animal model of tracheoesophageal fistula(TEF),but the commonly shaped magnets present limitations of poor homogeneity of TEF and poor model ... BACKGROUND The magnetic compression technique has been used to establish an animal model of tracheoesophageal fistula(TEF),but the commonly shaped magnets present limitations of poor homogeneity of TEF and poor model control.We designed a Tshaped magnet system to overcome these problems and verified its effectiveness via animal experiments.AIM To investigate the effectiveness of a T-shaped magnet system for establishing a TEF model in beagle dogs.METHODS Twelve beagles were randomly assigned to groups in which magnets of the Tshaped scheme(study group,n=6)or normal magnets(control group,n=6)were implanted into the trachea and esophagus separately under gastroscopy.Operation time,operation success rate,and accidental injury were recorded.After operation,the presence and timing of cough and the time of magnet shedding were observed.Dogs in the control group were euthanized after X-ray and gastroscopy to confirm establishment of TEFs after coughing,and gross specimens of TEFs were obtained.Dogs in the study group were euthanized after X-ray and gastroscopy 2 wk after surgery,and gross specimens were obtained.Fistula size was measured in all animals,and then harvested fistula specimens were examined by hematoxylin and eosin(HE)and Masson trichrome staining.RESULTS The operation success rate was 100%for both groups.Operation time did not differ between the study group(5.25 min±1.29 min)and the control group(4.75 min±1.70 min;P=0.331).No bleeding,perforation,or unplanned magnet attraction occurred in any animal during the operation.In the early postoperative period,all dogs ate freely and were generally in good condition.Dogs in the control group had severe cough after drinking water at 6-9 d after surgery.X-ray indicated that the magnets had entered the stomach,and gastroscopy showed TEF formation.Gross specimens of TEFs from the control group showed the formation of fistulas with a diameter of 4.94 mm±1.29 mm(range,3.52-6.56 mm).HE and Masson trichrome staining showed scar tissue formation and hierarchical structural disorder at the fistulas.Dogs in the study group did not exhibit obvious coughing after surgery.X-ray examination 2 wk after surgery indicated fixed magnet positioning,and gastroscopy showed no change in magnet positioning.The magnets were removed using a snare under endoscopy,and TEF was observed.Gross specimens showed well-formed fistulas with a diameter of 6.11 mm±0.16 mm(range,5.92-6.36 mm),which exceeded that in the control group(P<0.001).Scar formation was observed on the internal surface of fistulas by HE and Masson trichrome staining,and the structure was more regular than that in the control group.CONCLUSION Use of the modified T-shaped magnet scheme is safe and feasible for establishing TEF and can achieve a more stable and uniform fistula size compared with ordinary magnets.Most importantly,this model offers better controllability,which improves the flexibility of follow-up studies. 展开更多
关键词 magnetic surgery magnetic compression technique Tracheoesophageal fistula MAGNET Animal model Beagles
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Magnetic compression anastomosis to restore biliary tract continuity after obstruction following major abdominal trauma:A case report
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作者 Miao-Miao Zhang Jie Tao +7 位作者 Huan-Chen Sha Yun Li Xiao-Gang Song Oliver J Muensterer Fang-Fang Dong Li Zhang Yi Lyu Xiao-Peng Yan 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第6期1933-1938,共6页
BACKGROUND The combination of magnetic compression anastomosis(MCA)and endoscopy has been used to treat biliary stricture after liver transplantation.However,its use for the treatment of complex biliary obstruction af... BACKGROUND The combination of magnetic compression anastomosis(MCA)and endoscopy has been used to treat biliary stricture after liver transplantation.However,its use for the treatment of complex biliary obstruction after major abdominal trauma has not been reported.This case report describes the successful use of MCA for the treatment of biliary obstruction resulting from major abdominal trauma.A 23-year-old man underwent major abdominal surgery(repair of liver rupture,right half colon resection,and ileostomy)following a car accident one year ago.The abdominal drainage tube,positioned at the Winslow foramen,was draining approximately 600-800 mL of bile per day.During the two endoscopic retrograde cholangiopancreatography procedures,the guide wire was unable to enter the common bile duct,which prevented placement of a biliary stent.MCA combined with endoscopy was used to successfully achieve magnetic anastomosis of the peritoneal sinus tract and duodenum,and then a choledochoduodenal stent was placed.Finally,the external biliary drainage tube was removed.The patient achieved internal biliary drainage leading to the removal of the external biliary drainage tube,which improved the quality of life.CONCLUSION Magnetic compression technique can be used for the treatment of complex biliary obstruction with minimal operative trauma. 展开更多
关键词 magnetic compression anastomosis Magnetosurgery Endoscopy magnetic Surgery Clinic Biliary obstruction Case report
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Novel magnetic compression technique for the treatment of postoperative anastomotic stenosis in rectal cancer:A case report
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作者 Miao-Miao Zhang Huan-Chen Sha +9 位作者 Hai-Rong Xue Yuan-Fa Qin Xiao-Gang Song Yun Li Yu Li Zheng-Wu Deng Yu-Lin Gao Fang-Fang Dong Yi Lyu Xiao-Peng Yan 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第6期1926-1932,共7页
BACKGROUND The treatment of postoperative anastomotic stenosis after excision of rectal cancer is challenging.Endoscopic balloon dilation and radial incision are not effective in all patients.We present a new endoscop... BACKGROUND The treatment of postoperative anastomotic stenosis after excision of rectal cancer is challenging.Endoscopic balloon dilation and radial incision are not effective in all patients.We present a new endoscopy-assisted magnetic compression technique(MCT)for the treatment of rectal anastomotic stenosis.We successfully applied this MCT to a patient who developed an anastomotic stricture after radical resection of rectal cancer.A 50-year-old man had undergone laparoscopic radical rectal cancer surgery at a local hospital 5 months ago.A colonoscopy performed 2 months ago indicated that the rectal anastomosis was narrow due to which ileostomy closure could not be performed.The patient came to the Magnetic Surgery Clinic of the First Affiliated Hospital of Xi'an Jiaotong University after learning that we had successfully treated patients with colorectal stenosis using MCT.We performed endoscopy-assisted magnetic compression surgery for rectal stenosis.The magnets were removed 16 d later.A follow-up colonoscopy performed after 4 months showed good anastomotic patency,following which,ileostomy closure surgery was performed.CONCLUSION MCT is a simple,non-invasive technique for the treatment of anastomotic stricture after radical resection of rectal cancer.The technique can be widely used in clinical settings. 展开更多
关键词 Rectal cancer magnetic compression technique Magnetosurgery Anastomotic stricture magnetic surgery clinic Case report
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Treatment of anastomotic stricture after rectal cancer operation by magnetic compression technique:A case report
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作者 Miao-Miao Zhang Huan-Chen Sha +5 位作者 Hai-Rong Xue Yuan-Fa Qin Fang-Fang Dong Li Zhang Yi Lyu Xiao-Peng Yan 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第5期1443-1448,共6页
BACKGROUNDThe treatment of postoperative anastomotic stenosis(AS)after resection of colorectalcancer is challenging.Endoscopic balloon dilation is used to treat stenosisin such cases,but some patients do not show impr... BACKGROUNDThe treatment of postoperative anastomotic stenosis(AS)after resection of colorectalcancer is challenging.Endoscopic balloon dilation is used to treat stenosisin such cases,but some patients do not show improvement even after multipleballoon dilations.Magnetic compression technique(MCT)has been used for gastrointestinalanastomosis,but its use for the treatment of postoperative AS aftercolorectal cancer surgery has rarely been reported.CASE SUMMARYWe report a 72-year-old man who underwent radical resection of colorectal cancerand ileostomy one year ago.An ileostomy closure was prepared six months ago,but colonoscopy revealed a narrowing of the rectal anastomosis.Endoscopic balloondilation was performed three times,but colonoscopy showed no significantimprovement in stenosis.The AS was successfully treated using MCT.CONCLUSIONMCT is a minimally invasive method that can be used for the treatment of postoperativeAS after colorectal cancer surgery. 展开更多
关键词 Rectostenosis magnetic surgery magnetic Surgery Clinic Rectal cancer magnetic compression technique Case report
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Establishment of acquired tracheoesophageal fistula using a modified magnetic compression technique in rabbits and its postmodeling evaluation
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作者 Han Meng Fu-Yao Nan +7 位作者 Na Kou Qin-Yan Hong Ming-Sheng Lv Ju-Bo Li Bao-Jie Zhang Hang Zou Lei Li Hong-Wu Wang 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第5期1385-1394,共10页
BACKGROUND Previous studies have validated the efficacy of both magnetic compression and surgical techniques in creating rabbit tracheoesophageal fistula(TEF)models.Magnetic compression achieves a 100%success rate but... BACKGROUND Previous studies have validated the efficacy of both magnetic compression and surgical techniques in creating rabbit tracheoesophageal fistula(TEF)models.Magnetic compression achieves a 100%success rate but requires more time,while surgery,though less frequently successful,offers rapid model establishment and technical maturity in larger animal models.AIM To determine the optimal approach for rabbit disease modeling and refine the process.METHODS TEF models were created in 12 rabbits using both the modified magnetic compression technique and surgery.Comparisons of the time to model establishment,success rate,food and water intake,weight changes,activity levels,bronchoscopy findings,white blood cell counts,and biopsies were performed.In response to the failures encountered during modified magnetic compression modeling,we increased the sample size to 15 rabbit models and assessed the repeatability and stability of the models,comparing them with the original magnetic compression technique.RESULTS The modified magnetic compression technique achieved a 66.7%success rate,whereas the success rate of the surgery technique was 33.3%.Surviving surgical rabbits might not meet subsequent experimental requirements due to TEF-related inflammation.In the modified magnetic compression group,one rabbit died,possibly due to magnet corrosion,and another died from tracheal magnet obstruction.Similar events occurred during the second round of modified magnetic compression modeling,with one rabbit possibly succumbing to aggravated lung infection.The operation time of the first round of modified magnetic compression was 3.2±0.6 min,which was significantly reduced to 2.1±0.4 min in the second round,compared to both the first round and that of the original technique.CONCLUSION The modified magnetic compression technique exhibits lower stress responses,a simple procedure,a high success rate,and lower modeling costs,making it a more appropriate choice for constructing TEF models in rabbits. 展开更多
关键词 Tracheoesophageal fistula Modified magnetic compression technique Post-modeling evaluation Pneumonia MALNUTRITION
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Magnetic compression anastomosis for reconstruction of digestive tract after total gastrectomy in beagle model 被引量:2
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作者 Miao-Miao Zhang Chen-Guang Li +6 位作者 Shu-Qin Xu Jian-Qi Mao Yu-Han Zhang Ai-Hua Shi Yan Li Yi Lyu Xiao-Peng Yan 《World Journal of Gastrointestinal Surgery》 SCIE 2023年第7期1294-1303,共10页
BACKGROUND Magnetic compression anastomosis(MCA)is a simple procedure contributing to a reliable anastomosis.However,digestive-tract reconstruction after total gastrectomy using MCA has not yet been reported.AIM To in... BACKGROUND Magnetic compression anastomosis(MCA)is a simple procedure contributing to a reliable anastomosis.However,digestive-tract reconstruction after total gastrectomy using MCA has not yet been reported.AIM To investigate the feasibility of MCA for simultaneous esophagojejunostomy and jejunojejunostomy after total gastrectomy using beagle dogs.METHODS Sixteen beagles were randomly divided into an MCA group(study group,n=8)and a manual-suture anastomosis group(control group,n=8).Two different magnetic anastomosis devices were used in the study group for esophagojejunal and jejunojejunal anastomoses.Both devices included a pair of circular daughter and parent magnets each.The time of esophagojejunostomy and jejunojejunostomy,postoperative complications,and survival rate of the two groups were compared.The dogs were sacrificed one month after the operation and their anastomotic specimens were obtained.Healing was observed by the naked eye and a light microscope.RESULTS Digestive-tract reconstruction after total gastrectomy was successfully completed in both groups(survival rate=100%).In the study group,esophagojejunal and jejunojejunal anastomoses took 6.13±0.58 and 4.06±0.42 min,respectively,significantly lower than those in the control group(15.63±1.53 min,P<0.001 and 10.31±1.07 min,P<0.001,respectively).Complications such as bleeding,anastomotic leakage,and anastomotic stenosis were not observed.In the study group,the magnets did not interfere with each other.Discharge time of the jejunojejunal magnetic anastomosis device was 10.75±1.28 d,while that of the esophagojejunal magnetic anastomosis device was 12.25±1.49 d.Residual silk was found in the control group.The study group showed a greater smoothness of the anastomosis than that of the control group.All layers of anastomosis healed well in both groups.CONCLUSION MCA is a safe and feasible procedure for digestive-tract reconstruction after total gastrectomy in this animal model. 展开更多
关键词 magnetic surgery magnetic compression anastomosis Gastric cancer Total gastrectomy Roux-en-Y esophagojejunal anastomosis Beagles
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Primary repair of esophageal atresia gross type C via thoracoscopic magnetic compression anastomosis:A case report 被引量:1
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作者 Hong-Ke Zhang Xiao-Quan Li +12 位作者 Hong-Xia Song Shi-Qi Liu Fang-Hui Wang Jian Wen Mi Xiao A-Ping Yang Xu-Feng Duan Zhen-Zhen Gao Kai-Lun Hu Wei Zhang Yi Lv Xi-Hui Zhou Zhen-Jie Cao 《World Journal of Gastrointestinal Surgery》 SCIE 2023年第12期2919-2925,共7页
BACKGROUND Esophageal atresia(EA)is a life-threatening congenital malformation in newborns,and the traditional repair approaches pose technical challenges and are extremely invasive.Therefore,surgeons have been active... BACKGROUND Esophageal atresia(EA)is a life-threatening congenital malformation in newborns,and the traditional repair approaches pose technical challenges and are extremely invasive.Therefore,surgeons have been actively investigating new minimally invasive techniques to address this issue.Magnetic compression anastomosis has been reported in several studies for its potential in repairing EA.In this paper,the primary repair of EA with magnetic compression anastomosis under thoracoscopy was reported.CASE SUMMARY A full-term male weighing 3500 g was diagnosed with EA gross type C.The magnetic devices used in this procedure consisted of two magnetic rings and several catheters.Tracheoesophageal fistula ligation and two purse strings were performed.The magnetic compression anastomosis was then completed thoracoscopically.After the primary repair,no additional operation was conducted.A patent anastomosis was observed on the 15th day postoperatively,and the magnets were removed on the 23rd day.No leakage existed when the transoral feeding started.CONCLUSION Thoracoscopic magnetic compression anastomosis may be a promising minimally invasive approach for repairing EA. 展开更多
关键词 Congenital esophageal atresia Minimal invasive surgery Thoracoscopic repair magnetic compression anastomosis Primary repair Case report
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Magnetic compression anastomosis for sigmoid stenosis treatment:A case report 被引量:1
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作者 Miao-Miao Zhang Yi Gao +4 位作者 Xiao-Yang Ren Huan-Chen Sha Yi Lyu Fang-Fang Dong Xiao-Peng Yan 《World Journal of Gastrointestinal Endoscopy》 2023年第12期745-750,共6页
BACKGROUND Endoscopic balloon dilation is a minimally invasive treatment for colorectal stenosis.Magnetic compression anastomosis can be applied against gastrointestinal anastomosis.When combined with endoscopy,it off... BACKGROUND Endoscopic balloon dilation is a minimally invasive treatment for colorectal stenosis.Magnetic compression anastomosis can be applied against gastrointestinal anastomosis.When combined with endoscopy,it offers a unique approach to the recanalization of colorectal stenosis.CASE SUMMARY We have reported here the case of a 53-year-old female patient who underwent a descending colostomy due to sigmoid obstruction.Postoperative fistula restoration was not possible in her due to sigmoid stenosis.Accordingly,endoscopicassisted magnetic compression anastomosis for sigmoid stenosis was performed,and the sigmoid stenosis was recanalized 15 d after the surgery.Subsequently,a reduction colostomy was successfully performed after 10 d.CONCLUSION This case report proposes a novel minimally invasive treatment approach for colorectal stenosis. 展开更多
关键词 Colorectal stenosis ENDOSCOPY magnetic compression anastomosis Magnamosis Magnetosurgery Case report
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Quasi-static magnetic compression of field-reversed configuration plasma:amended scalings and limits from two-dimensional MHD equilibrium
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作者 Abba Alhaji BALA 朱平 +8 位作者 李浩龙 丁永华 刘家兴 万遂 何莹 李达 王能超 饶波 王之江 《Plasma Science and Technology》 SCIE EI CAS CSCD 2023年第2期58-67,共10页
In this work,several key scaling laws of the quasi-static magnetic compression of field reversed configuration(FRC)plasma(Spencer et al 1983 Phys.Fluids 261564)are amended from a series of two-dimensional FRC MHD equi... In this work,several key scaling laws of the quasi-static magnetic compression of field reversed configuration(FRC)plasma(Spencer et al 1983 Phys.Fluids 261564)are amended from a series of two-dimensional FRC MHD equilibriums numerically obtained using the Grad–Shafranov equation solver NIMEQ.Based on the new scaling for the elongation and the magnetic fields at the separatrix and the wall,the empirically stable limits for the compression ratio,the fusion gain,and the neutron yield are evaluated,which may serve as a more accurate estimate for the upper ceiling of performance from the magnetic compression of FRC plasma as a potential fusion energy as well as neutron source devices. 展开更多
关键词 magneto-hydrodynamic equilibrium Grad-Shafranov equation field reversed configuration NIMEQ magnetic compression
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Fedora-type magnetic compression anastomosis device for intestinal anastomosis 被引量:7
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作者 Huan Chen Tao Ma +5 位作者 Yue Wang Hao-Yang Zhu Zhe Feng Rong-Qian Wu Yi Lv Ding-Hui Dong 《World Journal of Gastroenterology》 SCIE CAS 2020年第42期6614-6625,共12页
BACKGROUND Although previous studies have confirmed the feasibility of magnetic compression anastomosis(MCA),there is still a risk of long-term anastomotic stenosis.For traditional MCA devices,a large device is associ... BACKGROUND Although previous studies have confirmed the feasibility of magnetic compression anastomosis(MCA),there is still a risk of long-term anastomotic stenosis.For traditional MCA devices,a large device is associated with great pressure,and eventually increased leakage.AIM To develop a novel MCA device to simultaneously meet the requirements of pressure and size.METHODS Traditional nummular MCA devices of all possible sizes were used to conduct ileac anastomosis in rats.The mean(±SD)circumference of the ileum was 13.34±0.12 mm.Based on short-and long-term follow-up results,we determined the appropriate pressure range and minimum size.Thereafter,we introduced a novel“fedora-type”MCA device,which entailed the use of a nummular magnet with a larger sheet metal.RESULTS With traditional MCA devices,the anastomoses experienced stenosis and even closure during the long-term follow-up when the anastomat was smaller thanΦ5 mm.However,the risk of leakage increased when it was larger thanΦ4 mm.On comparison of the different designs,it was found that the“fedora-type”MCA device should be composed of aΦ4-mm nummular magnet with aΦ6-mm sheet metal.CONCLUSION The diameter of the MCA device should be greater than 120%of the enteric diameter.The novel“fedora-type”MCA device controls the pressure and optimizes the size. 展开更多
关键词 magnetic compression anastomosis Anastomotic stenosis Size of anastomat compression pressure Fedora-type magnetic compression anastomosis device
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Sutureless Intestinal Anastomosis with a Novel Device of Magnetic Compression Anastomosis 被引量:19
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作者 Chao Fan Jia Ma Hong-ke Zhang Rui Gao Jian-hui Li Liang Yu Zheng Wu Yi Lv 《Chinese Medical Sciences Journal》 CAS CSCD 2011年第3期182-189,共8页
Objective To explore the feasibility and efficiency of a novel magnetic compression anastomats(MCAs) in intestinal anastomosis.Methods A total of 36 male mongrel canines underwent intestinal anastomosis using traditio... Objective To explore the feasibility and efficiency of a novel magnetic compression anastomats(MCAs) in intestinal anastomosis.Methods A total of 36 male mongrel canines underwent intestinal anastomosis using traditional hand-sewn(n=18) or a novel MCAs(n=18).We compared the anastomosis time,postoperative complications,bursting strength of anastomoses,gross appearance,and pathology between two groups at each time-point of follow-up.Results The mean anastomosis time with MCAs was significantly less than that with hand-sewn(8.50±1.95 vs.31.1±4.32 minutes,P<0.001).The blood stools and intussusceptions occurred in both groups during follow-up period.Only 1 mongrel canine receiving intestinal anastomosis by MCAs experienced anastomotic leakage.The average bursting pressure of anastomoses obtained from mongrel canines undergoing intestinal anastomosis by MCAs was significantly higher than that by traditional hand-sewn at 1 week's follow-up time(P<0.05).Gross appearance of the anastomoses constructed by MCAs was relatively smoother and flatter.Pathological evalution of anastomoses revealed that general inflammation was greater in hand-sewn anastomoses than magnetic anastomosis.Conclusion The magnetic compression anastomat is a safe and effective device of sutureless intestinal anastomosis in canine models. 展开更多
关键词 magnetic compression anastomosis bursting strength foreign body reaction
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Endoscopic magnetic compression stricturoplasty for congenital esophageal stenosis:A case report 被引量:1
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作者 Shi-Qi Liu Yi Lv Rui-Xue Luo 《World Journal of Clinical Cases》 SCIE 2022年第33期12313-12318,共6页
BACKGROUND Congenital esophageal stenosis(CES)is a rare malformation of the digestive tract.Endoscopic dilation and thoracotomy have been the main treatments for CES.However,there is no well-defined management protoco... BACKGROUND Congenital esophageal stenosis(CES)is a rare malformation of the digestive tract.Endoscopic dilation and thoracotomy have been the main treatments for CES.However,there is no well-defined management protocol.Magnetic compression stricturoplasty(MCS)has been used in refractory esophageal stricture in children after esophageal atresia.CASE SUMMARY We describe the first case of MCS for CES in one female child patient.The child(aged 3 years and 1 mo)was admitted due to frequent vomiting and choking after eating complementary food since 7 mo old.Esophagography and gastroendoscopy showed that there was stenosis in the lower esophagus,suggesting a diagnosis of CES.The patient did not receive any treatment for esophageal stricture including surgery or endoscopic dilation procedures before MCS.MCS procedure was smoothly conducted without complications.At 24 mo after MCS,durable esophageal patency without dysphagia was achieved.CONCLUSION MCS may serve as an alternative and efficient method for patients with CES. 展开更多
关键词 Congenital esophageal stenosis magnetic compression stricturoplasty ENDOSCOPY Case report
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Y–Z deformable magnetic ring for the treatment of rectal stricture: A case report and review of literature
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作者 Miao-Miao Zhang Huan-Chen Sha +2 位作者 Yuan-Fa Qin Yi Lyu Xiao-Peng Yan 《World Journal of Gastroenterology》 SCIE CAS 2024年第6期599-606,共8页
BACKGROUND Treatment of postoperative anastomotic stenosis for colorectal cancer is often challenging,especially for patients who do not respond well to endoscopy.In cases where patients have undergone an enterostomy,... BACKGROUND Treatment of postoperative anastomotic stenosis for colorectal cancer is often challenging,especially for patients who do not respond well to endoscopy.In cases where patients have undergone an enterostomy,the stenosis can be easily resolved through magnetic compression.However,common magnetic compre-ssion techniques cannot be performed on those without enterostomy.We design-ed a novel Y–Z deformable magnetic ring(Y–Z DMR)and successfully applied it to a patient with a stenosis rectal anastomosis and without enterostomy after rectal cancer surgery.CASE SUMMARY We here report the case of a 57-year-old woman who had undergone a laparo-scopic radical rectum resection(Dixon)for rectal cancer.However,she started facing difficulty in defecation 6 months after surgery.Her colonoscopy indicated stenosis of the rectal anastomosis.Endoscopic balloon dilation was performed six times on her.However,the stenosis still showed a trend of gradual aggravation.Because the patient did not undergo an enterostomy,the conventional endoscopic magnetic compression technique could not be performed.Hence,we imple-mented a Y–Z DMR implemented through the anus under single channel.The magnetic ring fell off nine days after the operation and the rectal stenosis was relieved.The patient was followed up for six months and reported good defeca-tion.CONCLUSION The Y–Z DMR deformable magnetic ring is an excellent treatment strategy for patients with rectal stenosis and without enterostomy. 展开更多
关键词 Anastomotic stenosis Colorectal cancer Magnetosurgery magnetic compression technique magnetic surgery clinic Case report
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Influence of different magnetic forces on the effect of colonic anastomosis in rats
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作者 Bo-Yan Tian Miao-Miao Zhang +2 位作者 Jia Ma Yi Lyu Xiao-Peng Yan 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第3期860-870,共11页
BACKGROUND Despite much work having been conducted on magnetic compression anastomo-sis(MCA)in the digestive tract,there are no reports on the influence of magnetic force on the anastomosis.AIM To investigate the effe... BACKGROUND Despite much work having been conducted on magnetic compression anastomo-sis(MCA)in the digestive tract,there are no reports on the influence of magnetic force on the anastomosis.AIM To investigate the effect of different magnetic force magnets on the MCA of the digestive tract.METHODS Two groups of magnets of the same sizes but different magnetic forces were designed and produced.A total of 24 Sprague-Dawley rats were randomly assigned into two groups(powerful magnet group and common magnet group),with 12 rats in each group.Two types of magnets were used to complete the colonic side-to-side anastomosis of the rats.The operation time and magnet discharge time were recorded.The anastomotic specimens were obtained 4 wk after the operation and then the burst pressure and diameter of the anastomosis were measured,and the anastomosis was observed via the naked eye and subjected to histological examination.RESULTS The magnetic forces of the powerful and common magnet groups at zero distance were 8.26 N and 4.10 N,respectively.The colonic side-to-side anastomosis was completed in all 24 rats,and the operation success rate and postoperative survival rate were 100%.No significant difference was noted in the operation time between the two groups.The magnet discharge time of the powerful magnet group was slightly longer than that of the common magnet group,but the difference was not statistically significant(P=0.513).Furthermore,there was no statistical difference in the burst pressure(P=0.266)or diameter of magnetic anastomosis(P=0.095)between the two groups.The gross specimens of the two groups showed good anastomotic healing,and histological observation indicated good mucosal continuity without differences on healing.CONCLUSION In the rat colonic side-to-side MCA model,both the powerful magnet with 8.26 N and the common magnet with 4.10 N showed no significant impact on the anastomosis establishment process or its effect. 展开更多
关键词 Magnetosurgery magnetic compression anastomosis Colonic anastomosis magnetic force RATS
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Primary animal experiment to test the feasibility of a novel Y-Z magnetic hepatic portal blocking band
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作者 Miao-Miao Zhang Chen-Guang Li +7 位作者 Shu-Qin Xu Jian-Qi Mao Yu-Xiang Ren Yu-Han Zhang Jia Ma Ai-Hua Shi Yi Lyu Xiao-Peng Yan 《World Journal of Gastrointestinal Surgery》 SCIE 2023年第7期1286-1293,共8页
BACKGROUND Hepatic portal blood flow occlusion is a common technique for reducing hepatic hemorrhage during hepatectomy.We designed a novel Y-Z magnetic hepatic portal blocking band(Y-Z MHPBB)based on the principle of... BACKGROUND Hepatic portal blood flow occlusion is a common technique for reducing hepatic hemorrhage during hepatectomy.We designed a novel Y-Z magnetic hepatic portal blocking band(Y-Z MHPBB)based on the principle of magnetic compression technique.AIM To introduce the Y-Z MHPBB device and verify the feasibility of this device for hepatic portal blood flow occlusion in dogs.METHODS Ten beagles were randomly divided into the experimental group and control group.The operation time,intraoperative blood loss,the number of portal blood flow occlusions,the total time spent on adjusting the blocking band,and the average time spent on adjusting the blocking band were recorded.The surgeons evaluated the feasibility and flexibility of the two portal occlusion devices.RESULTS Laparoscopic hepatectomy was successfully performed in both the experimental group and control group.There was no statistical difference between the two groups in the operation time,intraoperative blood loss,and the number of hepatic portal blood flow occlusions.With respect to the total time spent on adjusting the blocking band and the average time spent on adjusting the blocking band,the experimental group showed significantly better outcomes than the control group,with a statistical difference(P<0.05).The operators found that the Y-Z MHPBB was superior to the modified T-tube in terms of operational flexibility.CONCLUSION The Y-Z MHPBB seems to be an ingenious design,accurate blood flow occlusion effect,and good flexibility;and it can be used for hepatic portal blood flow occlusion during laparoscopic hepatectomy. 展开更多
关键词 Hepatic portal blood flow occlusion Laparoscopic hepatectomy Novel Y-Z magnetic hepatic portal blocking band magnetic surgery magnetic compression technique Beagles
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Regularization by Multiple Dual Frames for Compressed Sensing Magnetic Resonance Imaging With Convergence Analysis 被引量:1
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作者 Baoshun Shi Kexun Liu 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2023年第11期2136-2153,共18页
Plug-and-play priors are popular for solving illposed imaging inverse problems. Recent efforts indicate that the convergence guarantee of the imaging algorithms using plug-andplay priors relies on the assumption of bo... Plug-and-play priors are popular for solving illposed imaging inverse problems. Recent efforts indicate that the convergence guarantee of the imaging algorithms using plug-andplay priors relies on the assumption of bounded denoisers. However, the bounded properties of existing plugged Gaussian denoisers have not been proven explicitly. To bridge this gap, we detail a novel provable bounded denoiser termed as BMDual,which combines a trainable denoiser using dual tight frames and the well-known block-matching and 3D filtering(BM3D)denoiser. We incorporate multiple dual frames utilized by BMDual into a novel regularization model induced by a solver. The proposed regularization model is utilized for compressed sensing magnetic resonance imaging(CSMRI). We theoretically show the bound of the BMDual denoiser, the bounded gradient of the CSMRI data-fidelity function, and further demonstrate that the proposed CSMRI algorithm converges. Experimental results also demonstrate that the proposed algorithm has a good convergence behavior, and show the effectiveness of the proposed algorithm. 展开更多
关键词 Bounded denoiser compressed sensing magnetic resonance imaging(CSMRI) dual frames plug-and-play priors REGULARIZATION
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Fast magnetic reconstruction of the portal vein with allogeneic blood vessels in canines 被引量:23
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作者 Shan-Pei Wang Xiao-Peng Yan +5 位作者 Fei Xue Ding-Hui Dong Xu-Feng Zhang Feng Ma Hao-Hua Wang Yi Lv 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS CSCD 2015年第3期293-299,共7页
BACKGROUND: The resection and reconstruction of large vessels, including the portal vein, are frequently needed in tumor resection. Warm ischemia before reconstruction might have deleterious effects on the function o... BACKGROUND: The resection and reconstruction of large vessels, including the portal vein, are frequently needed in tumor resection. Warm ischemia before reconstruction might have deleterious effects on the function of some vital organs and therefore, how to reconstruct the vessels quickly after resection is extremely important. The present study was to introduce a new type of magnetic compression anastomosis (MCA) device to establish a quick non-suture anastomosis of the portal vein after resection in canines. 展开更多
关键词 magnetic compression anastomosis portal vein reconstruction non-suture anastomosis
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Roux-en-Y choledochojejunostomy using novel magnetic compressive anastomats in canine model of obstructive jaundice 被引量:50
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作者 Chao Fan,Xiao-Peng Yan,Shi-Qi Liu,Chun-Bao Wang,Jian-Hui Li,Liang Yu,Zheng Wu and Yi Lv Department of Hepatobiliary Surgery and Department of Pathology,First Affiliated Hospital,School of Medicine,Xi’an Jiaotong University,Xi’an 710061,China Department of Surgical Oncology,Third Affiliated Hospital,School of Medicine,Xi’an Jiaotong University,Xi’an 710068,China 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2012年第1期81-88,共8页
BACKGROUND:The traditional hand-sewn Roux-en-Y choledochojejunostomy is technically complicated,and the incidence of postoperative complications has remained high.A set of novel magnetic compressive anastomats was int... BACKGROUND:The traditional hand-sewn Roux-en-Y choledochojejunostomy is technically complicated,and the incidence of postoperative complications has remained high.A set of novel magnetic compressive anastomats was introduced to facilitate choledochojejunostomy and improve the prognosis of patients.METHODS:After ligating the common bile duct for 7 days,16 dogs were randomly divided into two groups (n=8 per group).Anastomats were used in the study group,and the traditional hand-sewn method was used in the control group for standard Roux-en-Y choledochojejunostomy.We compared the operation time,incidence of complications,gross appearance,and pathological disparity in stoma between the two groups in 1-month and 3-month follow-up examinations.RESULTS:The time spent on constructing the anastomosis for the study group was significantly shortened.Although no anastomotic stenosis occurred in the two groups,the narrowing rate of biliary-enteric anastomosis was much higher in the control group.There was one case of bile leakage in the control group,whereas no bile leakage occurred in the study group.A smoother surface,an improved layer apposition,and a lower local inflammatory response were identified in the anastomosis of the study group.CONCLUSION:The structures of the novel magnetic compressive anastomats are simple,and they are time-saving,safe and efficient for performing Roux-en-Y choledocho- jejunostomy procedures in a canine model of obstructive jaundice. 展开更多
关键词 anastomosis Roux-en-Y CHOLEDOCHOSTOMY jaundice obstructive magnetic compressive anastomats
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Combined endoscopy/laparoscopy/percutaneous transhepatic biliary drainage, hybrid techniques in gastrointestinal and biliary diseases
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作者 Yi-Long Feng Jing Li +2 位作者 Lian-Song Ye Xian-Hui Zeng Bing Hu 《World Journal of Meta-Analysis》 2020年第3期210-219,共10页
In recent years,a wide range of gastrointestinal endoscopy techniques have been developed,such as endoscopic submucosal dissection(ESD)and endoscopic retrograde cholangiopancreatography(ERCP).Although ESD and ERCP hav... In recent years,a wide range of gastrointestinal endoscopy techniques have been developed,such as endoscopic submucosal dissection(ESD)and endoscopic retrograde cholangiopancreatography(ERCP).Although ESD and ERCP have an important role in gastrointestinal and biliary diseases,each technique has its limitations.Hybrid techniques that combine endoscopic and surgical procedures have emerged that have the advantages of different procedures and negate their limitations at the same time.Laparoscopic endoscopic cooperative surgery and modified laparoscopic endoscopic cooperative surgery combine ESD and laparoscopic techniques to resect submucosal tumors with minimum resection area.Air leak test by intraoperative endoscopy can effectively identify a mechanically insufficient anastomosis and decrease the complication rate.The rendezvous technique that combines percutaneous transhepatic biliary drainage and endoscopy can be performed as a rescue approach for the treatment of biliary obstruction,stenosis and bile duct injuries.For patients with simultaneous presence of stones in the gallbladder and the common bile duct,the laparoendoscopic rendezvous technique can perform ERCP and laparoscopic cholecystectomy at the same time and reduces the risk of pancreatic injury caused by ERCP.Biliobiliary and bilioenteric anastomosis using magnetic compression anastomosis is another choice for biliary obstruction.The most common used approach to deliver the magnets is by percutaneous-peroral tract.Laparoscopicassisted ERCP is a safe and highly effective therapy for patients who develop biliary diseases after Roux-en-Y gastric bypass surgery. 展开更多
关键词 Hybrid technique Laparoscopic and endoscopic cooperative surgery Endoscopic retrograde cholangiopancreatography Laparoscopic-assisted endoscopic retrograde cholangiopancreatography Rendezvous technique magnetic compression anastomosis
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Reference-driven method for MR image reconstruction based on wavelet sparsity and nonlocal total variation 被引量:1
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作者 赵地 杜慧茜 +1 位作者 高向珍 梅文博 《Journal of Beijing Institute of Technology》 EI CAS 2016年第1期128-134,共7页
A novel reference-driven method for MR image reconstruction based on wavelet sparsity and nonlocal total variation(NLTV)is proposed.Utilizing the sparsity of the difference image between the target image and the mot... A novel reference-driven method for MR image reconstruction based on wavelet sparsity and nonlocal total variation(NLTV)is proposed.Utilizing the sparsity of the difference image between the target image and the motion-compensated reference image in wavelet transform domain,the proposed method does not need to estimate contrast changes and therefore increases computational efficiency.Additionally,NLTV regularization is applied to preserve image details and features without blocky effects.An efficient alternating iterative algorithm is used to estimate motion effects and reconstruct the difference image.Experimental results demonstrate that the proposed method can significantly reduce sampling rate or improve the quality of the reconstructed image alternatively. 展开更多
关键词 compressed sensing magnetic resonance imaging reference image motion compensation nonlocal total variation
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