Hallfeldt K K, Trupka A, Kalteis T, Stuetzle H
Chirurgische Klinik, Klinikum Innenstadt, Ludwig-Maximilians-Universität, Nussbaumstrasse 20, 80336 Munich, Germany.
Surg Endosc. 1999 Mar;13(3):306-7. doi: 10.1007/s004649900972.
The blind insertion of the Veress needle and the first trocar may cause serious complications. Therefore, many surgeons perform a minilaparotomy to safely position the first trocar. However, especially in obese patients, the dissection may be difficult and time consuming. As an alternative, optical trocars can be safely positioned under direct visualization. We report on our experience with the Optiview trocar in 200 patients and describe our preferred insertion technique. In our opinion, optical trocars are safe and easy to handle, offering several advantages over the use of the Veress needle and the minilaparotomy.
Veress针和首个套管针的盲目插入可能会导致严重并发症。因此，许多外科医生会进行迷你剖腹术以安全地放置首个套管针。然而，尤其是在肥胖患者中，解剖可能困难且耗时。作为一种替代方法，光学套管针可以在直视下安全放置。我们报告了我们在200例患者中使用Optiview套管针的经验，并描述了我们首选的插入技术。我们认为，光学套管针安全且易于操作，与使用Veress针和迷你剖腹术相比具有多个优点。
