摘要
目的探讨“蓝碟”（Lapdisc）手助器辅助腹腔镜手术（hand—assisted laparoscopic surgery，HALS）用于腹部手术的可行性。方法建立CO2气腹，根据病变部位和手术的要求，放置trocar和“蓝碟”手助器，对78例腹部疾病施行HALS，观察“蓝碟”手助器在腹部HALSA的实施过程，术中效果及术后临床效果。结果经Lapdisc完成70例HALS，术中出血量100—300ml，平均186ml；手术时间60—240min，平均140min；住院时间9—15d，平均10．2d。8例因腹腔镜下操作复杂危险而中转开腹。结论“蓝碟”手助器使用简单、感觉舒适，对切口提供完美保护，术中能维持良好的气腹状态。“蓝碟”简化传统腹腔镜的操作，可应用于绝大多数腹部外科疾病的HALS，安全可行。
Objective To explore the clinical feasibility of hand-assisted laparoscopic surgery （HALS） through the ＂Lapdisc＂ device. Methods HALS was performed in 78 cases. After the establishment of a CO2 pneumoperitoneum, trocars and a ＂Lapdisc＂ device were placed appropriately according to lesion＇ s location and operative demand. The performance of the ＂Lapdisc＂ device during the HALS was examined and clinical effects of the device were evaluated intra- and post-operatively. Results HALS through the ＂Lapdisc＂ device was successfully performed in 70 cases. The operation time was 60 - 240 min （mean, 140 min） , the blood loss was 100 - 300 ml （mean, 186 ml） , and the length of hospital stay, 9 - 15 d （mean, 10.2 d） , respectively. Conversions to open surgery were required in 8 cases because of difficulties of laparoscopic performance. Conclusions The ＂ Lapdisc＂ handassisted device has advantages of simplicity of performance, comfortable handling, excellent protection of incision, and stable pneumoperitoneum, and perfect protection to incision. The device can simplify the traditional laparoseopie surgery and be applicable to most abdominal HALS.
出处
《中国微创外科杂志》
CSCD
2007年第1期23-25,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
“蓝碟”手助器
手助腹腔镜手术
Lapdise hand-assisted device
Hand-assisted laparoseopie surgery （HALS）
