minilap在经脐入路腹腔镜胆囊切除术的应用-研究

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1、万方数据MinilapintheapplicationoftransumbilicallaparoscopiccholecystectomyAbstractBackground：atpresent，oneofthehotresearchscholarsandexpertsinthefieldofglobalminimallyinvasivesurgeryisthenaturalorificetransluminalendoscopicsurgery(NOTES)．Inourhospitalfrom2010itgradual

2、lybegantoexplorethenaturalorificetransluminalsurgery(NOTES)surgery,isalsoawareoftheoperationisstillintheexperimentalstage，fromtheclinicalworkthereisacertaindistancefromthe1-2．Atpresent，theapplicationoftransumbilicalendoscopicoperation(Transumbilicalendoscopic，surg

3、ery,TUES)is¨thehighestpossibilityofbodysurfaceskinscar"technology,isregardedasthetransitionalstageoftheNOTESoperation．TheTUESoperationisnotonlyakindofsafe，effective，feasibleoperationmode，andalsohasagoodcosmeticeffect，lesspain，rapidrecoveryandotherpotentialadvantag

4、es(3)．However,theTUESoperationalsoencounteredmanyproblems，suchassurgicalinstrumentsandlaparoscopiccoaxial(chopstickseffectbetweenlaparoscopiclens)，andsurgicalinstruments，surgicalinstrumentsduringoperationfrequentcollisionandinterference．Atthesametime，suchaprobleme

5、xistsinthecourseofoperation，withoutoperationtriangulationinoperation，SOthatmechanicalergonomicsdesignprincipleswhichallowsthesurgeonfatigue．Intheinitialstage，duetothepresenceof3万方数据surgicalskillsshortageandlackofexperience，naturallyledtorelativelyprolongedoperativ

6、etime，andincreasetheriskofsurgery,anesthesia．Becauseoftheexistenceoftheabovedifficultiesandshortcomings，whichlimititsuseofthebreadthanddepthof．Atpresent，althoughithasinventedvariousoperationdevicescanbebent，butinclinicalpracticeisstillinadequate．Therecentintroduct

7、ionofanewminigrabgrab—’Minilap，whichhasbeenusedintheTUESoperation，aimstoreducethedifficultyofoperation．Theresearchgroup，toexplorethesignificanceofMinilapinthesafety,feasibilityandoperationtechniquesoftransumbilicallaparoscopiccholecystectomybyMinilapassistedtransu

8、mbilicalandtransumbilicallaparoscopiccholecystectomyclinicalcomparativestudy．Objective：theMinilapassistedtransumbilicalandtransumbilicallaparoscopicchol