Application of magnetic surgery technique in thoracic surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHANG Yong ^1,2 , YAN Xiaopeng ^2,3 , SHI Aihua ² , WANG Haohua ² , MA Feng ³ , LIU Shiqi ⁴ ,  LU Yi ^2,3 ,  FU Junke ¹

1. Department of Thoracic Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, 710061, P.R.China;
2. National Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, 710061, P.R.China;
3. Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, 710061, P.R.China;
4. Department of Neonatology, Xi'an Children's Hospital, Xi’an, 710043, P.R.China;

Corresponding author：

LU Yi, Email: luyi169@126.com; FU Junke, Email: fujunk-6612@126.com

Keywords：

Magnetic surgery; thoracic surgery; magnetic compression technique; magnetic anchoring technique; magnetic navigation technique

DOI：

10.7507/1007-4848.202001001

Video：

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The earliest research of magnetic surgery was the application of magnetic anastomotic device to anastomose the blood vessels. Now, it has been widely used for anastomosis of blood vessels, gastrointestinal tract and biliary tract. The concept of "magnetic surgery" was named firstly by LU Yi in 2010 and magnetic surgery was classified into magnetic anchoring technique, magnetic navigation technique, magnetic compression technique, magnetic tracing technique, and magnetic suspension technique. The applications of magnetic surgery in the field of thoracic surgery mainly include magnetic compression technique, magnetic anchoring technique and magnetic navigation technique. This paper summarizes the application of magnetic surgery in thoracic surgery and prospects its future development in the field of thoracic surgery.

Citation： ZHANG Yong, YAN Xiaopeng, SHI Aihua, WANG Haohua, MA Feng, LIU Shiqi, LU Yi, FU Junke. Application of magnetic surgery technique in thoracic surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(3): 336-342. doi: 10.7507/1007-4848.202001001 Copy

1.	Obora Y, Tamaki N, Matsumoto S. Nonsuture microvascular anastomosis using magnet rings: preliminary report. Surg Neurol, 1978, 9(2): 117-120.
2.	Yamanouchi E, Kumano R, Kobayashi K, et al. Treatment for bowel or biliary obstruction by magnetic compression anastomosis development of Yamanouchi's method and its clinical evaluation. J Nippon Med Sch, 2002, 69(5): 471-475.
3.	Gonzales KD, Douglas G, Pichakron KO, et al. Magnamosis Ⅲ: delivery of a magnetic compression anastomosis device using minimally invasive endoscopic techniques. J Pediatr Surg, 2012, 47(6): 1291-1295.
4.	Fan C, Ma J, Zhang HK, et al. Sutureless intestinal anastomosis with a novel device of magnetic compression anastomosis. Chin Med Sci J, 2011, 26(3): 182-189.
5.	Parlak E, Koksal AS, Kucukay F, et al. A novel technique for the endoscopic treatment of complete biliary anastomosis obstructions after liver transplantation: through-the-scope magnetic compression anastomosis. Gastrointest Endosc, 2017, 85(4): 841-847.
6.	Fan C, Zhang H, Yan X, et al. Advanced Roux-en-Y hepaticojejunostomy with magnetic compressive anastomats in obstructive jaundice dog models. Surg Endosc, 2018, 32(2): 779-789.
7.	She ZF, Yan XP, Ma F, et al. Treatment of rectovaginal fistula by magnetic compression. Int Urogynecol J, 2017, 28(2): 241-247.
8.	Wang SP, Yan XP, Xue F, et al. Fast magnetic reconstruction of the portal vein with allogeneic blood vessels in canines. Hepatobiliary Pancreat Dis Int, 2015, 14(3): 293-299.
9.	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.
10.	Xu ZF, Li ZJ, Sun YL, et al. A novel spherical magnetic compression device for colorectal anastomosis in a Swine model. J Laparoendosc Adv Surg Tech A, 2015, 25(4): 323-329.
11.	Ye L, Zeng H, Wang S, et al. Magnet-assisted diverticuloplasty for treatment of Zenker's diverticulum. Endoscopy, 2018, 50(7): E170-E171.
12.	严小鹏, 商澎, 史爱华, 等. 磁外科学体系的探索与建立. 科学通报, 2019, 64(8): 815-826.
13.	Dorman RM, Vali K, Harmon CM, et al. Repair of esophageal atresia with proximal fistula using endoscopic magnetic compression anastomosis (magnamosis) after staged lengthening. Pediatr Surg Int, 2016, 32(5): 525-528.
14.	Woo R, Wong CM, Trimble Z, et al. Magnetic compression stricturoplasty for treatment of refractory esophageal strictures in children: technique and lessons learned. Surg Innov, 2017, 24(5): 432-439.
15.	Ellebaek MBB, Qvist N, Rasmussen L. Magnetic compression anastomosis in long-gap esophageal atresia gross type a: a case report. European J Pediatr Surg Rep, 2018, 6(1): e37-e39.
16.	Murphy TJ, Kearney D. Esophageal sphincter device for gastroesophageal reflux disease. N Engl J Med, 2013, 368(21): 2039.
17.	Cheng T, Ng CSH, Li Z. Innovative surgical endoscopes in video-assisted thoracic surgery. J Thorac Dis, 2018, 10(Suppl 6): S749-S755.
18.	Harrison MR, Curran PF, Jamshidi R, et al. Magnetic mini-mover procedure for pectus excavatum Ⅱ: initial findings of a Food and Drug Administration-sponsored trial. J Pediatr Surg, 2010, 45(1): 185-191.
19.	Graves CE, Hirose S, Raff GW, et al. Magnetic Mini-Mover Procedure for pectus excavatum Ⅳ: FDA sponsored multicenter trial. J Pediatr Surg, 2017, 52(6): 913-919.
20.	Harrison MR, Gonzales KD, Bratton BJ, et al. Magnetic mini-mover procedure for pectus excavatum Ⅲ: safety and efficacy in a Food and Drug Administration-sponsored clinical trial. J Pediatr Surg, 2012, 47(1): 154-159.
21.	Fujita Y, Seki N, Kurimoto N, et al. Introduction of endobronchial ultrasonography (EBUS) in bronchoscopy clearly reduces fluoroscopy time: comparison of 147 cases in groups before and after EBUS introduction. Jpn J Clin Oncol, 2011, 41(10): 1177-1181.
22.	严小鹏, 刘雯雁, 李涤尘, 等. 消化外科手术的内镜化途径: 磁吻合联合内镜. 世界华人消化杂志, 2014, 22(19): 2716-2721.
23.	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.
24.	Sodhi KS, Saxena AK, Ahuja CK, et al. Postoperative appearances of esophageal atresia repair: retrospective study of 210 patients with review of literature - what the radiologist should know. Acta Radiol, 2013, 54(2): 221-225.
25.	Zaritzky M, Ben R, Zylberg GI, et al. Magnetic compression anastomosis as a nonsurgical treatment for esophageal atresia. Pediatr Radiol, 2009, 39(9): 945-949.
26.	Takamizawa S, Yamanouchi E, Muraji T, et al. MCRA of an anastomotic stenosis after esophagoesophagostomy for long gap esophageal atresia: a case report. J Pediatr Surg, 2007, 42(5): 769-772.
27.	Bouchard S, Huberty V, Blero D, et al. Magnetic compression for treatment of large oesophageal diverticula: a new endoscopic approach for a risky surgical disease? Gut, 2015, 64(11): 1678-1679.
28.	Zaritzky M, Ben R, Johnston K. Magnetic gastrointestinal anastomosis in pediatric patients. J Pediatr Surg, 2014, 49(7): 1131-1137.
29.	赵士磊, 顾春东. 食管烧伤导致瘢痕狭窄的研究进展. 中华烧伤杂志, 2013, 29(5): 459-462.
30.	蒋耀光, 王如文, 周景海, 等. 168例食管烧伤后瘢痕狭窄的预防和治疗. 中华创伤杂志, 2006, 22(12): 881-883.
31.	杨中华, 吕良英, 李心元, 等. 幼儿食道化学性烧伤紧急处理与治疗. 中国小儿急救医学, 2013, 20(3): 304-306.
32.	徐伟立, 李索林, 方燕彬, 等. 腹腔镜胃造口术联合Forley尿管球囊扩张治疗小儿瘢痕性食管狭窄. 中华小儿外科杂志, 2016, 37(1): 48-52.
33.	余辉, 郑百俊, 高亚, 等. 经消化道腔内磁压榨吻合术治疗短段未完全闭锁小儿腐蚀性食管狭窄. 中华小儿外科杂志, 2018, 39(1): 35-39.
34.	吕毅. 磁吻合技术治疗新生儿远距离食管闭锁一例并文献复习. 中华小儿外科杂志, 2018, 39(8): 594-596.
35.	孙益峰, 杨煜, 张晓彬, 等. 磁力环治疗胃食管反流性疾病的实验研究. 中华胸部外科电子杂志, 2018, 5(1): 42-46.
36.	Gonzalez-Rivas D, Fieira E, Mendez L, et al. Single-port video-assisted thoracoscopic anatomic segmentectomy and right upper lobectomy. Eur J Cardiothorac Surg, 2012, 42(6): e169-e171.
37.	Sano A. Single-port thoracoscopic wedge resection using the Endo GIA Radial Reload: outcome of 15 cases. J Thorac Dis, 2019, 11(4): 1514-1518.
38.	Martin-Ucar AE, Aragon J, Bolufer Nadal S, et al. The influence of prior multiport experience on the learning curve for single-port thoracoscopic lobectomy: a multicentre comparative study. Eur J Cardiothorac Surg, 2017, 51(6): 1183-1187.
39.	Wang L, Liu D, Lu J, et al. The feasibility and advantage of uniportal video-assisted thoracoscopic surgery (VATS) in pulmonary lobectomy. BMC Cancer, 2017, 17(1): 75.
40.	Scott DJ, Tang SJ, Fernandez R, et al. Completely transvaginal NOTES cholecystectomy using magnetically anchored instruments. Surg Endosc, 2007, 21(12): 2308-2316.
41.	Cadeddu J, Fernandez R, Desai M, et al. Novel magnetically guided intra-abdominal camera to facilitate laparoendoscopic single-site surgery: initial human experience. Surg Endosc, 2009, 23(8): 1894-1899.
42.	Raman JD, Bergs RA, Fernandez R, et al. Complete transvaginal NOTES nephrectomy using magnetically anchored instrumentation. J Endourol, 2009, 23(3): 367-371.
43.	Yin G, Han WK, Faddegon S, et al. Laparoendoscopic single site (LESS) in vivo suturing using a magnetic anchoring and guidance system (MAGS) camera in a porcine model: impact on ergonomics and workload. Urology, 2013, 81(1): 80-84.
44.	严小鹏, 李益行, 付军科, 等. 磁锚定技术辅助胸腔镜肺楔形切除术三例. 中国胸心血管外科临床杂志, 2020, 27(2): 228-229.
45.	钱凯, 冯涌耕, 王如文, 等. 电磁导航支气管镜活检联合Massage染色定位在肺疾病诊疗中的应用. 中国肺癌杂志, 2019, 22(1): 15-19.
46.	Seijo LM. Electromagnetic navigation bronchoscopy: clinical utility in the diagnosis of lung cancer. Lung Cancer (Auckl), 2016, 7: 111-118.
47.	Marino KA, Sullivan JL, Weksler B. Electromagnetic navigation bronchoscopy for identifying lung nodules for thoracoscopic resection. Ann Thorac Surg, 2016, 102(2): 454-457.
48.	Mehta AC, Hood KL, Schwarz Y, et al. The evolutional history of electromagnetic navigation bronchoscopy: state of the art. Chest, 2018, 154(4): 935-947.

1. Obora Y, Tamaki N, Matsumoto S. Nonsuture microvascular anastomosis using magnet rings: preliminary report. Surg Neurol, 1978, 9(2): 117-120.
2. Yamanouchi E, Kumano R, Kobayashi K, et al. Treatment for bowel or biliary obstruction by magnetic compression anastomosis development of Yamanouchi's method and its clinical evaluation. J Nippon Med Sch, 2002, 69(5): 471-475.
3. Gonzales KD, Douglas G, Pichakron KO, et al. Magnamosis Ⅲ: delivery of a magnetic compression anastomosis device using minimally invasive endoscopic techniques. J Pediatr Surg, 2012, 47(6): 1291-1295.
4. Fan C, Ma J, Zhang HK, et al. Sutureless intestinal anastomosis with a novel device of magnetic compression anastomosis. Chin Med Sci J, 2011, 26(3): 182-189.
5. Parlak E, Koksal AS, Kucukay F, et al. A novel technique for the endoscopic treatment of complete biliary anastomosis obstructions after liver transplantation: through-the-scope magnetic compression anastomosis. Gastrointest Endosc, 2017, 85(4): 841-847.
6. Fan C, Zhang H, Yan X, et al. Advanced Roux-en-Y hepaticojejunostomy with magnetic compressive anastomats in obstructive jaundice dog models. Surg Endosc, 2018, 32(2): 779-789.
7. She ZF, Yan XP, Ma F, et al. Treatment of rectovaginal fistula by magnetic compression. Int Urogynecol J, 2017, 28(2): 241-247.
8. Wang SP, Yan XP, Xue F, et al. Fast magnetic reconstruction of the portal vein with allogeneic blood vessels in canines. Hepatobiliary Pancreat Dis Int, 2015, 14(3): 293-299.
9. 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.
10. Xu ZF, Li ZJ, Sun YL, et al. A novel spherical magnetic compression device for colorectal anastomosis in a Swine model. J Laparoendosc Adv Surg Tech A, 2015, 25(4): 323-329.
11. Ye L, Zeng H, Wang S, et al. Magnet-assisted diverticuloplasty for treatment of Zenker's diverticulum. Endoscopy, 2018, 50(7): E170-E171.
12. 严小鹏, 商澎, 史爱华, 等. 磁外科学体系的探索与建立. 科学通报, 2019, 64(8): 815-826.
13. Dorman RM, Vali K, Harmon CM, et al. Repair of esophageal atresia with proximal fistula using endoscopic magnetic compression anastomosis (magnamosis) after staged lengthening. Pediatr Surg Int, 2016, 32(5): 525-528.
14. Woo R, Wong CM, Trimble Z, et al. Magnetic compression stricturoplasty for treatment of refractory esophageal strictures in children: technique and lessons learned. Surg Innov, 2017, 24(5): 432-439.
15. Ellebaek MBB, Qvist N, Rasmussen L. Magnetic compression anastomosis in long-gap esophageal atresia gross type a: a case report. European J Pediatr Surg Rep, 2018, 6(1): e37-e39.
16. Murphy TJ, Kearney D. Esophageal sphincter device for gastroesophageal reflux disease. N Engl J Med, 2013, 368(21): 2039.
17. Cheng T, Ng CSH, Li Z. Innovative surgical endoscopes in video-assisted thoracic surgery. J Thorac Dis, 2018, 10(Suppl 6): S749-S755.
18. Harrison MR, Curran PF, Jamshidi R, et al. Magnetic mini-mover procedure for pectus excavatum Ⅱ: initial findings of a Food and Drug Administration-sponsored trial. J Pediatr Surg, 2010, 45(1): 185-191.
19. Graves CE, Hirose S, Raff GW, et al. Magnetic Mini-Mover Procedure for pectus excavatum Ⅳ: FDA sponsored multicenter trial. J Pediatr Surg, 2017, 52(6): 913-919.
20. Harrison MR, Gonzales KD, Bratton BJ, et al. Magnetic mini-mover procedure for pectus excavatum Ⅲ: safety and efficacy in a Food and Drug Administration-sponsored clinical trial. J Pediatr Surg, 2012, 47(1): 154-159.
21. Fujita Y, Seki N, Kurimoto N, et al. Introduction of endobronchial ultrasonography (EBUS) in bronchoscopy clearly reduces fluoroscopy time: comparison of 147 cases in groups before and after EBUS introduction. Jpn J Clin Oncol, 2011, 41(10): 1177-1181.
22. 严小鹏, 刘雯雁, 李涤尘, 等. 消化外科手术的内镜化途径: 磁吻合联合内镜. 世界华人消化杂志, 2014, 22(19): 2716-2721.
23. 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.
24. Sodhi KS, Saxena AK, Ahuja CK, et al. Postoperative appearances of esophageal atresia repair: retrospective study of 210 patients with review of literature - what the radiologist should know. Acta Radiol, 2013, 54(2): 221-225.
25. Zaritzky M, Ben R, Zylberg GI, et al. Magnetic compression anastomosis as a nonsurgical treatment for esophageal atresia. Pediatr Radiol, 2009, 39(9): 945-949.
26. Takamizawa S, Yamanouchi E, Muraji T, et al. MCRA of an anastomotic stenosis after esophagoesophagostomy for long gap esophageal atresia: a case report. J Pediatr Surg, 2007, 42(5): 769-772.
27. Bouchard S, Huberty V, Blero D, et al. Magnetic compression for treatment of large oesophageal diverticula: a new endoscopic approach for a risky surgical disease? Gut, 2015, 64(11): 1678-1679.
28. Zaritzky M, Ben R, Johnston K. Magnetic gastrointestinal anastomosis in pediatric patients. J Pediatr Surg, 2014, 49(7): 1131-1137.
29. 赵士磊, 顾春东. 食管烧伤导致瘢痕狭窄的研究进展. 中华烧伤杂志, 2013, 29(5): 459-462.
30. 蒋耀光, 王如文, 周景海, 等. 168例食管烧伤后瘢痕狭窄的预防和治疗. 中华创伤杂志, 2006, 22(12): 881-883.
31. 杨中华, 吕良英, 李心元, 等. 幼儿食道化学性烧伤紧急处理与治疗. 中国小儿急救医学, 2013, 20(3): 304-306.
32. 徐伟立, 李索林, 方燕彬, 等. 腹腔镜胃造口术联合Forley尿管球囊扩张治疗小儿瘢痕性食管狭窄. 中华小儿外科杂志, 2016, 37(1): 48-52.
33. 余辉, 郑百俊, 高亚, 等. 经消化道腔内磁压榨吻合术治疗短段未完全闭锁小儿腐蚀性食管狭窄. 中华小儿外科杂志, 2018, 39(1): 35-39.
34. 吕毅. 磁吻合技术治疗新生儿远距离食管闭锁一例并文献复习. 中华小儿外科杂志, 2018, 39(8): 594-596.
35. 孙益峰, 杨煜, 张晓彬, 等. 磁力环治疗胃食管反流性疾病的实验研究. 中华胸部外科电子杂志, 2018, 5(1): 42-46.
36. Gonzalez-Rivas D, Fieira E, Mendez L, et al. Single-port video-assisted thoracoscopic anatomic segmentectomy and right upper lobectomy. Eur J Cardiothorac Surg, 2012, 42(6): e169-e171.
37. Sano A. Single-port thoracoscopic wedge resection using the Endo GIA Radial Reload: outcome of 15 cases. J Thorac Dis, 2019, 11(4): 1514-1518.
38. Martin-Ucar AE, Aragon J, Bolufer Nadal S, et al. The influence of prior multiport experience on the learning curve for single-port thoracoscopic lobectomy: a multicentre comparative study. Eur J Cardiothorac Surg, 2017, 51(6): 1183-1187.
39. Wang L, Liu D, Lu J, et al. The feasibility and advantage of uniportal video-assisted thoracoscopic surgery (VATS) in pulmonary lobectomy. BMC Cancer, 2017, 17(1): 75.
40. Scott DJ, Tang SJ, Fernandez R, et al. Completely transvaginal NOTES cholecystectomy using magnetically anchored instruments. Surg Endosc, 2007, 21(12): 2308-2316.
41. Cadeddu J, Fernandez R, Desai M, et al. Novel magnetically guided intra-abdominal camera to facilitate laparoendoscopic single-site surgery: initial human experience. Surg Endosc, 2009, 23(8): 1894-1899.
42. Raman JD, Bergs RA, Fernandez R, et al. Complete transvaginal NOTES nephrectomy using magnetically anchored instrumentation. J Endourol, 2009, 23(3): 367-371.
43. Yin G, Han WK, Faddegon S, et al. Laparoendoscopic single site (LESS) in vivo suturing using a magnetic anchoring and guidance system (MAGS) camera in a porcine model: impact on ergonomics and workload. Urology, 2013, 81(1): 80-84.
44. 严小鹏, 李益行, 付军科, 等. 磁锚定技术辅助胸腔镜肺楔形切除术三例. 中国胸心血管外科临床杂志, 2020, 27(2): 228-229.
45. 钱凯, 冯涌耕, 王如文, 等. 电磁导航支气管镜活检联合Massage染色定位在肺疾病诊疗中的应用. 中国肺癌杂志, 2019, 22(1): 15-19.
46. Seijo LM. Electromagnetic navigation bronchoscopy: clinical utility in the diagnosis of lung cancer. Lung Cancer (Auckl), 2016, 7: 111-118.
47. Marino KA, Sullivan JL, Weksler B. Electromagnetic navigation bronchoscopy for identifying lung nodules for thoracoscopic resection. Ann Thorac Surg, 2016, 102(2): 454-457.
48. Mehta AC, Hood KL, Schwarz Y, et al. The evolutional history of electromagnetic navigation bronchoscopy: state of the art. Chest, 2018, 154(4): 935-947.

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