Int J Stomatol

Int J Stomatol ›› 2026, Vol. 53 ›› Issue (1): 124-133.doi: 10.7518/gjkq.2026205

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Clinical application and development of vascular anastomosis

Shizhong Wang(),Lewen Zhang,Zhixuan Li,Zhangfan Ding,Bing Yan(),Chunjie Li   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2024-12-04 Revised:2025-06-04 Online:2026-01-01 Published:2025-12-31
  • Contact: Bing Yan E-mail:2021151640178@stu.scu.edu.cn;yanbing_west@163.com
  • Supported by:
    Sichuan Provincial Natural Science Foundation Youth Fund(2024NSFSC1590);Chengdu Science and Technology Project Technology Innovation Research and Development Project(2024-YF05-00437-SN)

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Abstract:

Vascular anastomosis is widely used in oral and maxillofacial surgery, plastic and reconstructive surgery, and cardiovascular surgery. Conventional vascular anastomosis is challenging and time-consuming, hence demanding for surgeons. In recent years, new vascular suture anastomosis techniques, endoscopic anastomosis, and microvascular anastomosis have provided additional choices for clinical practice, improved the efficiency of the operation, and reduced the risk of the operation. These methods have demonstrated unique advantages in microvascular anastomosis, organ reconstruction, and ultra-microsurgery. These advances not only provide increased convenience for surgeons but also meet the needs of different types of patients for enhanced therapeutic outcomes. In this review, the recent advances in the techniques of vascular anastomosis are summarized from three aspects: manual suture techniques, vascular anastomosis assistive devi-ces and digital technology, and anastomosis based on biomaterials. This review aims to help surgeons understand the deve-lopment trends of vascular anastomosis technology and provide references for the selection of surgical procedures.

Key words: vascular anastomosis, robotic surgical, microsurgery, vascular prosthesis

CLC Number: 

  • R616.2

TrendMD: 

Fig 1

Operation diagram of manual suturing"

Fig 2

Magnetic vascular anastomosis"

Fig 3

Vascular coupler anastomosis"

Fig 4

Synthetic vascular material applications"

Tab 1

Advantages and disadvantages of various vascular anastomoses"

方法优点缺点
人工缝合术应用范围广泛，对设备仪器要求低1）手术时间长，技术要求高；2）不可吸收的缝合材料可能导致炎症、血小板聚集等问题。
内镜下吻合术侵入性小，安全性高技术难度大
显微血管吻合术适用于微小血管操作，精度较高需要高倍显微镜及特殊器械，技术难度大
磁性血管吻合术1）吻合快速，步骤简便；2）无异物残留，血管内膜更加平滑，血管损伤小技术应用在初期阶段，需进一步临床验证
激光血管吻合术1）高精度、快速，感染风险低；2）适用于需迅速精确完成血管连接的情景1）有渗漏问题，血栓形成风险增加；2）临床数据少，需进一步临床验证
血管耦合器/吻合器/夹子吻合术1）血管吻合流程简易，手术时间短；2）形成血栓风险降低1）可能导致血管变形等问题；2）运动或表浅等部位的使用有明显异物感
自动吻合机器人辅助技术手术精确度、操作灵活性及手术效率提高成本高，技术及设备普及度有限
黏合剂吻合技术1）手术时间缩短，操作负担减轻；2）术中出血风险降低，确保吻合处均匀性1）对大型或高压血管的连接效果有限；2）可能存在生物安全性问题
合成血管材料应用可生物降解材料有助于血管自然修复和生长材料生物相容性和长期稳定性仍需评估

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