摘要
目的探讨自制脐部拉钩在腹腔镜手术脐部穿刺建立气腹中的应用价值。方法 2013年10月~2014年10月应用自制脐部拉钩在200例腹腔镜手术中经脐部切口穿刺建立气腹。尖刀在脐上或脐下切开1.5~2.0 cm切口,以脐部拉钩上下方向提拉皮缘,尖刀柄尾端延脐上下缘的腹白线垂直刺入腹腔,形成垂直进入腹腔的间隙,最后用带保护的trocar沿此间隙置入,完成气腹的建立。结果穿刺建立气腹均1次完成,操作时间10~30 s,平均15 s。无并发症发生。结论应用自制脐部拉钩经脐部切口穿刺建立气腹,安全、简单、实用,操作方便,值得临床推广。
Objective To study the application value of a self-made umbilical retractor in the establishment of pneumoperitoneum through umbilical puncture in laparoscopic surgery. Methods We used a self-made umbilical retractor to form pneumoperitoneum through umbilical puncture in 200 cases of laparoscopic surgery from October 2013 to October 2014.A knife was used to cut an incision 1.5 -2.0 cm in length above or below the umbilicus, then skin edges were pulled up and down with the umbilical retractor.The abdominal cavity was vertically pierced into by the knife handle along the linea alba at the upper and lower margin of umbilicus, to create a space penetrating vertically into the abdominal cavity.At last, a trocar with protection was put into along the space, and the pneumoperitoneum was established. Results The establishment of pneumoperitoneum through puncture was completed at a time.The operating time was 10-30 s, with an average of 15 s.No complication occurred. Conclusions It is safe, simple and practical to establish pneumoperitoneum by using the self-made umbilical retractor through umbilical puncture.It is worthy of clinical promotion due to its convenience.
出处
《中国微创外科杂志》
CSCD
北大核心
2015年第12期1111-1112,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
脐部拉钩
Laparoscope
Umbilical retractor
