CN101548903B - Biliary-enteric anastomosis support tube - Google Patents

Biliary-enteric anastomosis support tube Download PDF

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Publication number
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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siphunculus
bile duct
biliary
anastomosis
support tube
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CN101548903A (en
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蔡秀军
王一帆
虞洪
梁霄
梁岳龙
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Zhejiang University ZJU
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蔡秀军
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Abstract

A biliary-enteric anastomosis support tube, includes a siphunculus made from silicagel, the siphunculus includes an anastomosis end for anastomosing bile duct with small intestine and a drainage end for communication with vitro. The external surface of the siphunculus in the anastomosis end is provided with a first prominent ring for banding the bile duct and a second prominent ring for banding the small intestine, part of the siphunculus lies in the small intestine is provided with a side opening, the anastomosis end of the siphunculus is connected with a breeches pipe corresponding to bifurcation structure of the bile duct. The invention is provided with advantages of simplification of the biliary-enteric anastomosis, shorting anastomosis time, reducing postoperative complications.

Description

A kind of biliary-enteric anastomosis support tube
(1) technical field
The present invention relates to a kind of biliary-enteric anastomosis support tube that is used for, can simplify the gallbladder intestinal and coincide, improve the safety that the gallbladder intestinal coincide.
(2) technical background
It is the common a kind of operation of abdominal surgery that the gallbladder intestinal coincide, but also there are a lot of deficiencies in this anastomosis.At first, existing gallbladder intestinal coincide and adopts interrupted suture or the continuous method completion of sewing up to coincide, because the bile duct fixed-site, the operation technique regional location is darker, performance difficulty; Secondly, the incidence rate of the bile leakage after operation of coincideing is higher, when especially running into the less bile duct of diameter, and occurs anastomotic stricture easily after coincideing.
(3) summary of the invention
The present invention will solve the above-mentioned deficiency that existing gallbladder intestinal coincide, and the invention provides a kind ofly can simplify the stay pipe that the gallbladder intestinal coincide, shortens the time of coincideing, reduces post-operative complication.
A kind of biliary-enteric anastomosis support tube; It is characterized in that: comprise the siphunculus that a silica gel is processed; Described siphunculus comprises identical end and the outer drain end of connected component that is used for identical bile duct and small intestinal; The siphunculus outer surface of described identical end has the first prominent ring of tying up bile duct and is used to tie up the second prominent ring of small intestinal, and the part that described siphunculus is positioned at small intestinal has a side opening, and the identical end of described siphunculus is connected with the breeches pipe corresponding with the bifurcation structure of bile duct.
When coincideing, on the bile duct broken ends of fractured bone and intestinal wall, do purse string suture respectively earlier,, between the bile duct broken ends of fractured bone and two prominent rings of the fixed stay pipe of intestinal wall, the bile duct broken ends of fractured bone is contacted with intestinal wall, accomplish and coincide through purse string suture.The other end of stay pipe is through outside intestinal wall and the stomach wall lead body.The bile of hepatic secretion gets into stay pipe after coincideing, and gets into enteric cavity through the side opening of processing on the pipe, and part bile gets into the external drainage bag that connects stay pipe through stay pipe.Process and pull out after the pipe postoperative is placed March.This identical method is simple and reliable, and the back anastomotic stoma of coincideing is firm.Because the stay pipe manufacturing process is simple, the prices of raw and semifnished materials are very cheap, and the whole surgery expense is low.
Beneficial effect of the present invention: 1, identical method is simple, and tradition is coincide method need be around anastomotic stoma by the fine and close stitching of pin, complex operation; And because the anastomotic stoma position is darker; Often stitching is all comparatively difficult, especially ought run into tiny bile duct, and operating difficulty is very big; And this technology only needs on the bile duct broken ends of fractured bone and intestinal wall, to do two purse string sutures, implements easily; 2, coincide the back purse wire around one week of bile duct intestinal wall, anastomotic stoma is fixed on the silica gel, utilize the tension force of line and the elasticity of silica gel tube that tube chamber is sealed, effectively anastomotic stoma and bile, intestinal contents are completely cut off, help the growth of anastomotic stoma; 3, the interior supporting role of support can effectively prevent anastomotic stenosis after surgery, guarantees that the bile eliminating is unobstructed; 4, leave side opening on the stay pipe in the jejunum, the bile of discharge gets into digestive tract through this hole, has avoided biliary and has lost; 5, side opening and the opening of putting into bile duct have certain distance (10cm), can reduce the anti-biliary tract that flows into of intestinal contents.
(4) description of drawings
Fig. 1 is the front view that the present invention does not install breeches pipe
Fig. 2 is a front view of the present invention
Fig. 3 is a user mode sketch map of the present invention
(5) specific embodiment
With reference to accompanying drawing 1,2:
A kind of biliary-enteric anastomosis support tube; Comprise the siphunculus 1 that a silica gel is processed; Described siphunculus 1 comprises the identical end 11 and the outer drain end 12 of connected component that is used for identical bile duct and small intestinal; The siphunculus outer surface of described identical end has the first prominent ring 21 of tying up bile duct and the second prominent ring 22 that is used to tie up small intestinal, and the part that described siphunculus 1 is positioned at small intestinal has a side opening 3.The identical end 11 of described siphunculus 1 is connected with the breeches pipe corresponding with the bifurcation structure of bile duct 4.
When coincideing, on the bile duct broken ends of fractured bone and intestinal wall, do purse string suture respectively earlier,, between the bile duct broken ends of fractured bone and two prominent rings of the fixed stay pipe of intestinal wall, the bile duct broken ends of fractured bone is contacted with intestinal wall, accomplish and coincide through purse string suture.The other end of stay pipe is through outside intestinal wall and the stomach wall lead body.The bile of hepatic secretion gets into stay pipe after coincideing, and gets into enteric cavity through the side opening of processing on the pipe, and part bile gets into the external drainage bag that connects stay pipe through stay pipe.Process and pull out after the pipe postoperative is placed March.This identical method is simple and reliable, and the back anastomotic stoma of coincideing is firm.Because the stay pipe manufacturing process is simple, the prices of raw and semifnished materials are very cheap, and the whole surgery expense is low.
The technical scheme of present embodiment is specially adapted to when the crotch of position near bile duct that coincide.At this moment, short because of the bile duct that exposes, the disconnected place of bile duct is being close to bifurcated, and bile duct is difficult to be lashed on the prominent ring of siphunculus, and surgical effect is bad.The technical scheme of present embodiment can adapt to the environment of bile duct bifurcated well.
Present embodiment only supplies to explain technical scheme of the present invention; But not to the restriction of protection scope of the present invention; Those of ordinary skill in the art; Under the situation that does not break away from concept of the present invention, can also make various variations, all equivalent technical solutions also belong to scope of the present invention, and protection scope of the present invention should be defined by the claims.

Claims (1)

1. biliary-enteric anastomosis support tube; It is characterized in that: comprise the siphunculus that a silica gel is processed; Described siphunculus comprises identical end and the outer drain end of connected component that is used for identical bile duct and small intestinal, second prominent ring that the siphunculus outer surface of described identical end has the first prominent ring of tying up bile duct and is used to tie up small intestinal, and the part that described siphunculus is positioned at small intestinal has a side opening; The identical end of described siphunculus is connected with the breeches pipe corresponding with the bifurcation structure of bile duct, and described siphunculus is single pipe.
CN2009100964275A 2009-03-03 2009-03-03 Biliary-enteric anastomosis support tube Active CN101548903B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN2009100964275A CN101548903B (en) 2009-03-03 2009-03-03 Biliary-enteric anastomosis support tube

Applications Claiming Priority (1)

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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CN101548903A CN101548903A (en) 2009-10-07
CN101548903B true CN101548903B (en) 2012-08-22

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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)

* Cited by examiner, † Cited by third party
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 carriage and its making method
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

Patent Citations (8)

* Cited by examiner, † Cited by third party
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 carriage and its making method
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