RESEARCH STATUS AND APPLICATION OF MAGNETIC COMPRESSION ANASTOMOSIS IN SURGERY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

GUOHongchang ^1,2 , ZHAOGuangbin ^1,2 ,  LIUYaxiong ² , XUGuangshen ¹ , YANXiaopeng ³ , XUEFei ³ , MAFeng ³ ,  LÜYi ³ , LIDichen ²

1. School of Mechanical Engineering, Xi'an Polytechnic University, Xi'an Shaanxi, 710048, P. R. China;
2. State Key Laboratory for Manufacturing Systems Engineering, Xi'an Jiaotong University;
3. Department of Hepatobiliary Surgery, the First Affiliated Hospital of Xi'an Jiaotong University;

Corresponding author：

LIUYaxiong, Email: yaxiongliu@mail.xjtu.edu.cn; LÜYi, Email: lvyi119@yahoo.com.cn

Keywords：

Magnetic compression anastomosis; Lumen reconstruction; Minimally invasive surgery; Clinical application

DOI：

10.7507/1002-1892.20140335

Video：

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Objective To summarize the recent development of the magnetic compression anastomosis in surgery. Methods The abroad and domestic relevant literature about magnetic compression anastomosis was extensively reviewed, and comprehensive analyzed. Results Magnetic compression anastomosis in the reconstruction of the body lumen is a simple and effective way; laparoscopy combined with magnetic compression anastomosis has the advantages of small wound and quick recovery. Magnetic compression anastomosis has been increasingly used in cl inical practice. But its mechanism has not been fully revealed, and it is difficulty in expelling out of the magnet for the gastrointestinal and certain large-size lumen, so further research and optimization are still needed. Conclusion Relative to the traditional manual suture, magnetic anastomosis has great advantage, especially a combination of magnetic compression anastomosis and minimally invasive surgery has bright prospects for development.

Citation： GUOHongchang, ZHAOGuangbin, LIUYaxiong, XUGuangshen, YANXiaopeng, XUEFei, MAFeng, LÜYi, LIDichen. RESEARCH STATUS AND APPLICATION OF MAGNETIC COMPRESSION ANASTOMOSIS IN SURGERY. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(12): 1551-1554. doi: 10.7507/1002-1892.20140335 Copy

1.	Obora Y, Tamaki N, Matsumoto S. Nonsuture microvascular anastomosis using magnet rings: preliminary report. Surg Neurol, 1978, 9(2): 117-120.
2.	Cope C. Creation of compression gastroenterostomy by means of the oral, percutaneous, or surgical introduction of magnets: feasibil ity study in swine. J Vasc Interv Radiol, 1995, 6(4): 539-545.
3.	Cope C, Ginsberg G. Long-term patency of experimental magnetic compression gastroenteric anastomoses achieved with covered stents. Gastrointest Endosc, 2001, 53(7): 780-784.
4.	Jamshidi R, Stephenson JT, Clay JG, et al. Magnamosis: magnetic compression anastomosis with comparison to suture and staple techniques. J Pediatr Surg, 2009, 44(1): 222-228.
5.	Pichakron KO, Jelin EB, Hirose S, et al. Magnamosis Ⅱ: magnetic compression anastomosis for minimally invasive gastrojejunostomy and jejunojejunostomy. J Am Coll Surg, 2011, 212(1): 42-49.
6.	Gonzales KD, Douglas G, Pichakron KO, et al. Magnamosis Ⅲ: del ivery of a magnetic compression anastomosis device using minimally invasive endoscopic techniques. J Pediatr Surg, 2012, 47(6): 1291-1295.
7.	侯郑生, 刘京山, 赵期康, 等. 磁铁压迫吻合术治疗肠梗阻动物实验研究. 中国现代普通外科进展, 2009, 12(8): 649-652.
8.	Ryou M, Cantillon-Murphy P, Azagury D, et al. Smart Self-Assembling MagnetS for ENdoscopy (SAMSEN) for transoral endoscopic creation of immediate gastrojejunostomy (with video). Gastrointest Endosc, 2011, 73(2): 353-359.
9.	西安交通大学. 一种组合式磁性吻合器: 中国, 201310574578.1[P]. 2014-03-05.
10.	西安交通大学. 一种载药性的可降解的磁吻合器: 中国, 201310574009.1[P]. 2014-03-05.
11.	Diana M, Mutter D, Lindner V, et al. A modular magnetic anastomotic device for minimally invasive digestive anastomosis: proof of concept and prel iminary data in the pig model. Surg Endosc, 2014, 28(5): 1613-1623.
12.	Saveliev VS, Avaliani MV, Bashirov AD. Endoscopic magnetic cholecystodigestive anastomoses: personal technique for pall iative treatment of distal bile duct obstruction. J Laparoendosc Surg, 1993, 3(2): 99-112.
13.	山内荣五郎. 消化道介入放射学疗法新进展--磁铁压迫吻合术(三内法). 日本医学介绍, 2001, 22(2): 76-79.
14.	Yamanouchi E, Kumano R, Kobayashi K, et al. Treatment for bowel or bil iary obstruction by magnetic compression anastomosis development of Yamanouchi's method and its cl inical evaluation. J Nippon Med Sc, 2002, 69(5): 471-475.
15.	Mimuro A, Tsuchida A, Yamanouchi E, et al. A novel technique of magnetic compression anastomosis for severe bil iary stenosis. Gastrointest Endosc, 2003, 58(2): 283-287.
16.	Itoi T, Yamanouchi E, Ikeda T, et al. Magnetic compression anasto mosis: a novel technique for canalization of severe hilar bile duct strictures. Endoscopy, 2005, 37(12): 1248-1251.
17.	Akita H, Hikita H, Yamanouchi E, et al. Use of a metallic-wall stent in the magnet compression anastomosis technique for bile duct obstruction after liver transplantation. Liver Transpl, 2008, 14(1): 118-120.
18.	Itoi T, Yamanouchi E, Ikeuchi N, et al. Magnetic compression duct-toduct anastomosis for bil iary obstruction in a patient with living donor liver transplantation. Gut Liver, 2010, 4 Suppl 1: S96-S98.
19.	Li J, Lü Y, Qu B, et al. Application of a new type of sutureless magnetic bil iary-enteric anastomosis stent for one-stage reconstruction of the bil iary-enteric continuity after acute bile duct injury: an experimental study. J Surg Res, 2008, 148(2): 136-142.
20.	Fan C, Yan XP, Liu SQ, et al. Roux-en-Y choledochojejunostomy using novel magnetic compressive anastomats in canine model of obstructive jaundice. Hepatobiliary Pancreat Dis Int, 2012, 11(1): 81-88.
21.	Avaliani M, Chigogidze N, Nechi pai A, et al. Magnetic compression bil iary-enteric anastomosis for pall iation of obstructive jaundice: initial cl inical results. J Vasc Interv Radiol, 2009, 20(5): 614-623.
22.	Jamidar P, Cadeddu M, Mosse A, et al. A hinged metalloplastic anastomotic device: a novel method for choledochoduodenostomy. Gastrointest Endosc, 2009, 69(7): 1333-1338.
23.	Jang SI, Kim JH, Won JY, et al. Magnetic compression anastomosis is useful in bil iary anastomotic strictures after living donor liver transplantation. Gastroint Endosc, 2011, 74(5): 1040-1048.
24.	Lambe T, Ríordáin MG, Cahill RA, et al. Magnetic compression in gastrointestinal and bil ioenteric anastomosis: how much force? Surg Innov, 2014, 21(1): 65-73.
25.	MAGDA: Magnetic force Determination Algorithm[EB/OL] (2012-01-01)[2014-04-12]. http://magda.ucc.ie.
26.	Erdmann D, Sweis R, Heitmann C, et al. Side-to-side sutureless vascular anastomosis with magnets. J Vasc Surg, 2004, 40(3): 505-511.
27.	Klima U, MacVaugh H, Bagaev E, et al. Magnetic vascular port in minimally invasive direct coronary artery bypass grafting. Circulation, 2004, 110(11 suppl 1): Ⅱ55-Ⅱ60.
28.	Vicol C, Eifert S, Oberhoffer M, et al. Early cl inical results with a magnetic connector for distal coronary artery anastomoses. Ann Thorac Surg, 2005, 79(5): 1738-1742.
29.	Shi Y, Lv Y, Wang B, et al. Novel magnetic rings for rapid vascular reconstruction in canine liver transplantation model. Transplant Proc, 2006, 38(9): 3070-3074.
30.	Zaritzky M, Ben R, Zylberg GI, et al. Magnetic compression anastomosis as a nonsurgical treatment for esophageal atresia. Pediat Radiol, 2009, 39(9): 945-949.
31.	Ryou M, Cantillon-Murphy P, Shaikh SN, et al. Magnetic pancreaticobil iary stents and retrieval system: obviating the need for repeat endoscopy (with video). Gastrointest Endosc, 2012, 75(4): 888-892. e1.
32.	Ganz RA, Peters JH, Horgan S, et al. Esophageal sphincter device for gastroesophageal reflux disease. N Engl J Med, 2013, 368(8): 719-727.
33.	Chung H, Dhumane P, Liu KH, et al. Endoscopic submucosal dissection with a novel traction method using a steerable grasper: a feasibility study in a porcine model. Surg Innov, 2013, 21(1): 5-10.

1. Obora Y, Tamaki N, Matsumoto S. Nonsuture microvascular anastomosis using magnet rings: preliminary report. Surg Neurol, 1978, 9(2): 117-120.
2. Cope C. Creation of compression gastroenterostomy by means of the oral, percutaneous, or surgical introduction of magnets: feasibil ity study in swine. J Vasc Interv Radiol, 1995, 6(4): 539-545.
3. Cope C, Ginsberg G. Long-term patency of experimental magnetic compression gastroenteric anastomoses achieved with covered stents. Gastrointest Endosc, 2001, 53(7): 780-784.
4. Jamshidi R, Stephenson JT, Clay JG, et al. Magnamosis: magnetic compression anastomosis with comparison to suture and staple techniques. J Pediatr Surg, 2009, 44(1): 222-228.
5. Pichakron KO, Jelin EB, Hirose S, et al. Magnamosis Ⅱ: magnetic compression anastomosis for minimally invasive gastrojejunostomy and jejunojejunostomy. J Am Coll Surg, 2011, 212(1): 42-49.
6. Gonzales KD, Douglas G, Pichakron KO, et al. Magnamosis Ⅲ: del ivery of a magnetic compression anastomosis device using minimally invasive endoscopic techniques. J Pediatr Surg, 2012, 47(6): 1291-1295.
7. 侯郑生, 刘京山, 赵期康, 等. 磁铁压迫吻合术治疗肠梗阻动物实验研究. 中国现代普通外科进展, 2009, 12(8): 649-652.
8. Ryou M, Cantillon-Murphy P, Azagury D, et al. Smart Self-Assembling MagnetS for ENdoscopy (SAMSEN) for transoral endoscopic creation of immediate gastrojejunostomy (with video). Gastrointest Endosc, 2011, 73(2): 353-359.
9. 西安交通大学. 一种组合式磁性吻合器: 中国, 201310574578.1[P]. 2014-03-05.
10. 西安交通大学. 一种载药性的可降解的磁吻合器: 中国, 201310574009.1[P]. 2014-03-05.
11. Diana M, Mutter D, Lindner V, et al. A modular magnetic anastomotic device for minimally invasive digestive anastomosis: proof of concept and prel iminary data in the pig model. Surg Endosc, 2014, 28(5): 1613-1623.
12. Saveliev VS, Avaliani MV, Bashirov AD. Endoscopic magnetic cholecystodigestive anastomoses: personal technique for pall iative treatment of distal bile duct obstruction. J Laparoendosc Surg, 1993, 3(2): 99-112.
13. 山内荣五郎. 消化道介入放射学疗法新进展--磁铁压迫吻合术(三内法). 日本医学介绍, 2001, 22(2): 76-79.
14. Yamanouchi E, Kumano R, Kobayashi K, et al. Treatment for bowel or bil iary obstruction by magnetic compression anastomosis development of Yamanouchi's method and its cl inical evaluation. J Nippon Med Sc, 2002, 69(5): 471-475.
15. Mimuro A, Tsuchida A, Yamanouchi E, et al. A novel technique of magnetic compression anastomosis for severe bil iary stenosis. Gastrointest Endosc, 2003, 58(2): 283-287.
16. Itoi T, Yamanouchi E, Ikeda T, et al. Magnetic compression anasto mosis: a novel technique for canalization of severe hilar bile duct strictures. Endoscopy, 2005, 37(12): 1248-1251.
17. Akita H, Hikita H, Yamanouchi E, et al. Use of a metallic-wall stent in the magnet compression anastomosis technique for bile duct obstruction after liver transplantation. Liver Transpl, 2008, 14(1): 118-120.
18. Itoi T, Yamanouchi E, Ikeuchi N, et al. Magnetic compression duct-toduct anastomosis for bil iary obstruction in a patient with living donor liver transplantation. Gut Liver, 2010, 4 Suppl 1: S96-S98.
19. Li J, Lü Y, Qu B, et al. Application of a new type of sutureless magnetic bil iary-enteric anastomosis stent for one-stage reconstruction of the bil iary-enteric continuity after acute bile duct injury: an experimental study. J Surg Res, 2008, 148(2): 136-142.
20. Fan C, Yan XP, Liu SQ, et al. Roux-en-Y choledochojejunostomy using novel magnetic compressive anastomats in canine model of obstructive jaundice. Hepatobiliary Pancreat Dis Int, 2012, 11(1): 81-88.
21. Avaliani M, Chigogidze N, Nechi pai A, et al. Magnetic compression bil iary-enteric anastomosis for pall iation of obstructive jaundice: initial cl inical results. J Vasc Interv Radiol, 2009, 20(5): 614-623.
22. Jamidar P, Cadeddu M, Mosse A, et al. A hinged metalloplastic anastomotic device: a novel method for choledochoduodenostomy. Gastrointest Endosc, 2009, 69(7): 1333-1338.
23. Jang SI, Kim JH, Won JY, et al. Magnetic compression anastomosis is useful in bil iary anastomotic strictures after living donor liver transplantation. Gastroint Endosc, 2011, 74(5): 1040-1048.
24. Lambe T, Ríordáin MG, Cahill RA, et al. Magnetic compression in gastrointestinal and bil ioenteric anastomosis: how much force? Surg Innov, 2014, 21(1): 65-73.
25. MAGDA: Magnetic force Determination Algorithm[EB/OL] (2012-01-01)[2014-04-12]. http://magda.ucc.ie.
26. Erdmann D, Sweis R, Heitmann C, et al. Side-to-side sutureless vascular anastomosis with magnets. J Vasc Surg, 2004, 40(3): 505-511.
27. Klima U, MacVaugh H, Bagaev E, et al. Magnetic vascular port in minimally invasive direct coronary artery bypass grafting. Circulation, 2004, 110(11 suppl 1): Ⅱ55-Ⅱ60.
28. Vicol C, Eifert S, Oberhoffer M, et al. Early cl inical results with a magnetic connector for distal coronary artery anastomoses. Ann Thorac Surg, 2005, 79(5): 1738-1742.
29. Shi Y, Lv Y, Wang B, et al. Novel magnetic rings for rapid vascular reconstruction in canine liver transplantation model. Transplant Proc, 2006, 38(9): 3070-3074.
30. Zaritzky M, Ben R, Zylberg GI, et al. Magnetic compression anastomosis as a nonsurgical treatment for esophageal atresia. Pediat Radiol, 2009, 39(9): 945-949.
31. Ryou M, Cantillon-Murphy P, Shaikh SN, et al. Magnetic pancreaticobil iary stents and retrieval system: obviating the need for repeat endoscopy (with video). Gastrointest Endosc, 2012, 75(4): 888-892. e1.
32. Ganz RA, Peters JH, Horgan S, et al. Esophageal sphincter device for gastroesophageal reflux disease. N Engl J Med, 2013, 368(8): 719-727.
33. Chung H, Dhumane P, Liu KH, et al. Endoscopic submucosal dissection with a novel traction method using a steerable grasper: a feasibility study in a porcine model. Surg Innov, 2013, 21(1): 5-10.

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