单孔腹腔镜胆囊切除术中辅助牵引的方法  

Method of auxiliary retraction in single incision laparoscopic surgery

作　　者：蓝春雨[1] 赵刚[2] 

机构地区：[1]南京东南大学医学院,南京210009 [2]南京东南大学附属中大医院肝胆外科,南京210009

出　　处：《国际外科学杂志》2015年第5期337-340,共4页International Journal of Surgery

摘　　要：单孔腹腔镜手术相比较多孔腹腔镜手术有创伤小、术后疼痛轻、住院时间短、美容效果好等特点,其中最显著的是腹壁无瘢痕的美容效果.但是相较于多孔腹腔镜手术,单孔腹腔镜手术目前也还存在诸多问题,如手术难度大、时间长,更容易出现手术并发症等.主要原因在于术野显露不佳,手术操作三角不易形成.为了克服这些困难,国内外学者采用了各种术中辅助显露术野的方法.其中包括穿腹壁牵引法、腹腔内牵引法、腹壁牵引法.本文综述以上各方法的优缺点,以期帮助临床医师进一步了解这些方法,对临床开展单孔腹腔镜胆囊切除术提供一定的参考价值.Single incision laparoscopic surgery （SILS） has many advantages than standard multiport laparoscopic cholecystectomy （MLC）,such as small trauma,less postoperative pain,shorter hospital stay,good cosmetic effect,and so on.Especially the satisfying cosmetic result of no abdominal scar is more important.But the SILS is also faced with many difficulties.The operation time of SILS were significantly longer in duration than MLC.The safety and the technical feasibility were lower for the SILS whose operation complications are more than the MLC.The main reason is that the operation field don＇t exposureis sufficient and the formation of surgical operation triangle is not easy.In order to overcome these difficulties,scholars have used the auxiliary methods of exposing the operative field in various operation,including the penetration of abdomen wall retraction and intraperitonealretractionand abdomen wall retraction.This paper with review the advantages and disadvantages of the above methods aiming to affer more values for clinical doctors in opperating SILS who get more knonledge abont it.

关 键 词：单孔腹腔镜 辅助牵引术 胆囊切除术 腹腔镜 综述 

分 类 号：R657.4[医药卫生—外科学]