Oshinsky G S, Smith A D
Long Island Jewish Medical Center, New Hyde Park, NY.
J Laparoendosc Surg. 1992 Apr;2(2):117-25. doi: 10.1089/lps.1992.2.117.
Although the gynecologist has utilized the laparoscope both diagnostically and therapeutically for several decades, laparoscopic surgery has only recently gained great acceptance in the general surgical and urologic community. However, the enthusiasm for this new technology for minimally invasive surgery must be dampened by the small incidence of complications, most of which occur during the creation of the initial pneumoperitoneum and, in particular, during the insertion of the Veress needle and the principal trocar. The purpose of this paper is to review needle and trocar designs, to describe the complications of their use, and to identify factors that may contribute to injury and those that will minimize the risk.
尽管几十年来妇科医生一直在诊断和治疗中使用腹腔镜，但腹腔镜手术直到最近才在普通外科和泌尿外科领域获得广泛认可。然而，对于这项微创手术新技术的热情必须因并发症发生率低而有所降温，其中大多数并发症发生在最初建立气腹期间，特别是在插入Veress针和主要套管针的过程中。本文的目的是回顾针和套管针的设计，描述其使用中的并发症，并确定可能导致损伤的因素以及那些将风险降至最低的因素。
