An abdominal wall-lift method of laparoscopic cholecystectomy without peritoneal insufflation.
An abdominal wall-lift method of laparoscopic cholecystectomy without peritoneal insufflation.
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一种无需腹腔吹气的腹腔镜胆囊切除术的腹壁提升方法。
DOI：
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发表时间：
1993
期刊：
影响因子：
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通讯作者：
K. Kanazawa
中科院分区：
文献类型：
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作者：
H. Nagai;Y. Kondo;T. Yasuda;K. Kasahara;K. Kanazawa
腹腔镜胆囊切除术通常伴有腹膜二氧化碳气体注入，这限制了常规手术技术的自由使用，并伴有套管针插入、高碳酸血症和腹内压升高等手术风险。我们改进了腹腔镜胆囊切除术程序，采用腹壁提升技术，不利用腹膜充气。除病态肥胖患者外，手术范围与气腹法几乎相同。由于操作器械和腹壁之间的气密性不需要，我们能够使用传统的手术器械和技术，除了那些专门为腹腔镜手术设计的。腹壁提升法使我们能够比气腹法更容易地进行腹腔镜手术。除胆囊切除术外，还可扩展到其他腹部手术。
Laparoscopic cholecystectomy is unusually performed with peritoneal insufflation of carbon dioxide gas, which limits the free use of conventional surgical techniques and is accompanied by operative risks resulting from trocar insertion, hypercapnia, and increased intraabdominal pressure. We have improved the laparoscopic cholecystectomy procedure by using an abdominal wall-lift technique that does not utilize peritoneal insufflation. The operative field is almost the same as in the pneumoperitoneum method with the exception of morbidly obese patients. Because airtightness between manipulating instruments and the abdominal wall is not required, we are able to use conventional surgical instruments and techniques in addition to those specifically designed for laparoscopic surgery. The abdominal wall-lift method enables us to perform laparoscopic surgery with greater ease than the pneumoperitoneum method. It can also be extended to other kinds of abdominal surgery in addition to cholecystectomy.