{"title":"[伞端到伞侧吻合的两种方法]。","authors":"Shinichi Osaka","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>There are two methods of end-to-side parachute anastomosis. For a quick end-to-side anastomosis, the graft and artery are placed in parallel proximity and 5 parachute stitches are performed. There are type A that moves the needle inside to outside the artery and type B that moves inside to outside the graft. Each has its advantages. In type A, complications such as dissection do not occur because the needle is always moved from the inside of the artery. Type B is faster because the first few parachute stitches are done by forehand. However, if arteriosclerosis is severe, there is a risk of dissection. Therefore, it is important to use both types appropriately.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Two Methods of End-to-side Parachute Anastomosis].\",\"authors\":\"Shinichi Osaka\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>There are two methods of end-to-side parachute anastomosis. For a quick end-to-side anastomosis, the graft and artery are placed in parallel proximity and 5 parachute stitches are performed. There are type A that moves the needle inside to outside the artery and type B that moves inside to outside the graft. Each has its advantages. In type A, complications such as dissection do not occur because the needle is always moved from the inside of the artery. Type B is faster because the first few parachute stitches are done by forehand. However, if arteriosclerosis is severe, there is a risk of dissection. Therefore, it is important to use both types appropriately.</p>\",\"PeriodicalId\":17841,\"journal\":{\"name\":\"Kyobu geka. The Japanese journal of thoracic surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Kyobu geka. The Japanese journal of thoracic surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Kyobu geka. The Japanese journal of thoracic surgery","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
端侧降落伞吻合术有两种方法。对于快速的端侧吻合,将移植物和动脉平行放置,然后进行 5 针降落伞式缝合。有将针从动脉内侧移至动脉外侧的 A 型和从移植物内侧移至移植物外侧的 B 型。两种方法各有优势。在 A 型手术中,由于针总是从动脉内侧移动,因此不会发生剥离等并发症。B 型更快,因为头几针伞状缝合是用正手完成的。但是,如果动脉硬化严重,就有发生夹层的风险。因此,适当使用两种类型都很重要。
[Two Methods of End-to-side Parachute Anastomosis].
There are two methods of end-to-side parachute anastomosis. For a quick end-to-side anastomosis, the graft and artery are placed in parallel proximity and 5 parachute stitches are performed. There are type A that moves the needle inside to outside the artery and type B that moves inside to outside the graft. Each has its advantages. In type A, complications such as dissection do not occur because the needle is always moved from the inside of the artery. Type B is faster because the first few parachute stitches are done by forehand. However, if arteriosclerosis is severe, there is a risk of dissection. Therefore, it is important to use both types appropriately.