腹腔镜胃肠手术中发生缝针丢失的原因分析及处置  

Causes,preventive strategies and counter-measures of needle loss during gastrointestinal laparoscopy

作　　者：李源 杜周元 陶凯雄[1] 曹阳[1] Li Yuan;Du Zhouyuan;Tao Kaixiong;Cao Yang(Department of Gastrointestinal Surgery;Department of Gastrointestinal Oncological Surgery,Affiliated Union Hospital,Tongji Medical College,Huazhong University of Science&Technology,Hubei Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院胃肠外科,湖北武汉430022 [2]华中科技大学同济医学院附属协和医院消化肿瘤外科,湖北武汉430022

出　　处：《腹部外科》2024年第6期448-452,共5页Journal of Abdominal Surgery

摘　　要：随着多项高级别循证临床研究结果的公布,胃肠道手术进入了微创时代,伴随着各类新术式的开展,腔镜下缝合技术在临床工作中被广泛应用。但在紧张的手术中,缝针丢失时有发生,而腔镜下视野有限,缝针尺寸更小,寻针的难度大。缝针的丢失,不仅影响手术的质量与效率,还可能导致严重的并发症。腹腔镜手术中缝针丢失重在预防,及早发现并处理尤为关键。此文通过分析2例腹腔镜胃肠手术中缝针丢失案例,总结缝针丢失的危险因素,为减少腹腔镜下缝针丢失这一不良事件的发生,针对性地提供预防措施及处理流程,有助于进一步推动腹腔镜技术在胃肠疾病中的发展。With a publication of a growing number of high-level evidence-based clinical trial results,gastrointestinal surgery has entered a golden era of mini-invasiveness.With rapid developments of various new surgical modes,endoscopic suturing technology has also been widely applied in clinical practices.However,during stressful surgery,loss of needle occurs from time to time.Limited field of endoscopic view and smaller size of needles render it difficult to detect.Loss of needle not only affects the quality and efficiency of surgery,but also may cause severe complications.Needle loss should be prevented and early detection and timely intervention remain essential.Therefore this review described two cases of needle loss during laparoscopic gastrointestinal surgery,focused upon the risk factors of needle loss and proposed preventive measures and remedies to further promote the development of laparoscopic technology for gastrointestinal diseases.

关 键 词：腹腔镜胃肠手术 缝针丢失 预防措施 处理流程 

分 类 号：R615[医药卫生—外科学]