普通外科缝合技术的基本原则与缝合材料规范化使用

缝合技术及缝合材料的正确选择是普通外科面临的常见问题。2008年,中华医学会外科学分会外科手术学学组牵头编写了我国第一部有关普通外科缝合技术与缝合材料的专家共识,对提高临床医师规范化操作水平发挥了重要作用。过去10年,普通外科在缝合材料方面出现了抗菌缝线、药物洗脱线、倒刺线、防渗漏缝针、防刺伤针、新型直线切割闭合器、生物3D吻合器等,推动了外科手术的发展。同时,伴随手术技巧的进步及腹腔镜及机器人手术系统的应用出现了三角吻合、非离断式Roux-en-Y吻合等缝合技术。本文综述了新型缝合材料的进展,介绍了普通外科缝合技术的研究成果,并对制定2018年版普通外科缝合技术与缝合材料相关专家共识的意义进行了探讨。

Basic principles of surgical suture technology and selection of suture materials in general surgery

Basic principles of surgical suture technology and selection of suture materials in general surgery        ZHAO Yu-pei , ZHANG Tai-ping . Department of Surgery, Peking Union Medical College Hospital, Peking Union Medical College, China Academy of Medical Sciences, Beijing 100730, China
Corresponding author: ZHAO Yu-pei, E-mail: zhao8028@263.net
Abstract    The selection of suturing techniques and suture materials is a common problem in general surgery. In 2008, the Chinse Society of Surgery of Chinese Medical Association draw up the first edition of  The Chinese Consensus Statement on General surgical suture technique and suture material. In the last ten years, it has appeared antibacterial sutures, drug elution lines, barbed lines, anti-leakage needles, stab-resistant needles, bio-3D staplers in suture materials, which promoted the development of general surgery. At the same time, with the advancement of surgical techniques and the application of laparoscopic and robotic surgery, suture techniques such as triangular anastomosis and non-disconnected Roux-en-Y anastomosis have appeared. This article reviews the progress of new suture materials, introduces the achievements of suturing technique in general surgery, and discusses the significance of the 2018 edition of  The Chinese Consensus Statement on General Surgical Suture Technique and Suture Material.