手辅助腹腔镜在胃肠肿瘤手术中的临床应用现状和展望  

Current application and prospects of hand-assisted laparoscopic surgery in gastrointestinal tumors

作　　者：刘逸[1] 

机构地区：[1]南昌大学第一附属医院普外六科,江西省南昌市330006

出　　处：《世界华人消化杂志》2016年第27期3841-3845,共5页World Chinese Journal of Digestology

摘　　要：手辅助腹腔镜手术(hand-assisted laparoscopic surgery,HALS)是指术者经特定的手辅助装置将非优势手伸入腹腔从而协助完成手术因为有一只手协助手术操作,能降低手术难度,缩短手术时间.以前,HALS被认为是外科医生由传统开放手术向腹腔镜手术过渡的桥梁,而现在的观点,则把HLAS和全腹腔镜手术、腹腔镜辅助手术并列作为腹腔镜手术3种常规开展的临床手术方式.随着腹腔镜胃肠肿瘤手术在临床的广泛和深入的开展,HALS作为近年来兴起的一种新型腹腔镜手术方式也得到了一定的发展.Hand-assisted laparoscopic surgery（HALS） refers to operations in which the surgeon inserts his/her non-dominant hand through a specific auxiliary device into the peritoneal cavity to assist the laparoscopic instruments. Because there is one hand to assist in the operation, HALS can reduce the difficulty of operation and shorten operative time. Previously, HALS is considered the transitional bridge from the traditional open surgery to laparoscopic surgery, but now, HLAS, together with total laparoscopic surgery and laparoscopic assisted surgery, is considered three forms of routine laparoscopic surgery. Along with the extensive use of laparoscopic surgery in gastrointestinal tumors, HALS, as a new method of laparoscopic surgery, has been gradually used in gastrointestinal tumors in recent years.

关 键 词：手辅助腹腔镜手术 手辅助装置 胃肠肿瘤 

分 类 号：R735[医药卫生—肿瘤]