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时间:2019-05-24
《非气腹装置的研制与非气腹腹腔镜手术的临床应用研究》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、6中华腔镜外科杂志(电子版)2008年6月第1卷第1期(试刊)chillJLaparoscopicSurgery(ElectronicVersion),June2008,Vol1,No.1基础研究非气腹装置的研制与非气腹腹腔镜手术的临床应用研究王秋生【摘要】目的探索l4年来自行研制的非气腹装置应用于非气腹腹腔镜手术的安全可行性。方法1993年8月开始不断研制出五代八型非气腹装置,从动物实验逐步应用于临床,实施了15种、90例非气腹腹腔镜手术。结果9O例非气腹腹腔镜手术中,7例中转开腹(中转率7.8%),83例包括胆囊切除、结直肠切除、盲肠部分切除、
2、胃大部切除、腹股沟疝修补、腹壁紧缩成形术、。肾癌或肾盂癌根治术、巨大食管裂孔疝修补胃底折叠术、子宫切除术等获得成功。结论非气腹腹腔镜手术不仅安全可行,而且充分体现了现代腹腔镜外科技术与传统外科技术的优势互补。它对因气腹禁忌而失去常规腹腔镜手术机会的患者具有重要的补充价值,对某些本需在腹壁造口或需扩大切口取标本的腹腔镜胃肠手术、以及手助肝胆胰手术具有独特而重要的应用价值。【关键词】气腹;外科学;腹腔镜;胆囊AStudyontheDevelopmentofGaslessLaparoseopicDevicesandItsClinicalApplicati
3、onofGaslessLaparoscopicSurgery.WANGQiu-sheng,DepartmentofGeneralSurgery,PekingUniversityPeopleHospital,Beijing100044,China[Abstract]ObjectiveToresearchtheclinicalsafetyandfeasibilityofhomemadegaslesslaparoscopicdevicesduringthepast14years.MethodsEighttypesandfivegenerationsofg
4、aslesslaparoscopicdevices(includingSemi—tubeRetractor,UmbrellaTent,and“ArtificialRibs”IIIllI)havebeendesignedandmanufacturedbytheauthorandhiscolleaguesindependentlysinceAugust1993.FromApril1994toOctober2007,15sortsand90casesofgaslesslaparoscopicoperationhavebeenappliedinthecli
5、nicafteranexperimentalresearch.ResultsExcept7caseswereconvertedtoopensurgery(conversionrate7.8%),theother83casesofgaslesslaparoscopiccholecystectomy(52),inguinalhemiorrhaphy(2),abdominoperinealresectionofrectalcarcinoma(9),sigmoidectomy(3),leahemicolectomy(1),partialexcisionof
6、cecum(1),subtotalgastrectomy(1),abdominalplasty(1),haitalhemiorrhaphywithToupet’sfundoplication(1),hysterectomy(1),andhandassistedgaslesslaparoscopicsigmoidoproctectomy(1),righthemicolectomy(1),nephroureterectomy(9)weresuccessfullyperformedwithnomobidityandmortality.Conclusion
7、sOurhomemadegaslesslaparoscopicdevicescouldbeappliedsafelyandeffectivelyintheclinic.Gaslesslaparoscopicsurgeryhasbeenreflectingthecomplementaryadvantagesofmodemlaparoscopicsurgeryandtraditionalopensurgery.Ithasthesupplementaryvalueinthestageoftotallylaparoscopicsurgery,distinc
8、tivevalueinthestageoflaparoscopic—assistedsurgery,andveryimpo
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