Uchida K, Haruta N, Tanji H, Okajima M, Naitoh T, Kasama K, Matsuda M, Yamamoto M
Endoscopic Surgery Center, Takanobashi Central Hospital, Japan.
Surg Endosc. 2006 Mar;20(3):531-2. doi: 10.1007/s00464-005-0569-8. Epub 2006 Jan 25.
Laparoscopic knot tying can be stressful. We reported two simple techniques, known as the Thumbs up! knot and the Tornado knot. We have further refined these procedures with the development of a new needle holder, called the Excalibur suturing needle holder.
This forceps differ from most conventional forceps in that the hinge is designed to stick out. The large hinge is stored out of the way when the forceps are closed, to prevent the thread accidentally catching.
The thread is hooked on the projected hinge, which resembles the heel of a high-heel shoe. By using this forceps, the laparoscopic knot tying becomes easier for not only well experienced but also less experienced surgeons.
The Excalibur, with its high heel, can complete knots with simple straight-line motion, making knot tying easier. This forceps will help reduce the stresses associated with intra-corporeal knot tying.
腹腔镜打结可能会带来压力。我们报道了两种简单的技术，即“点赞”结和“龙卷风”结。随着一种名为“王者之剑”缝合持针器的新型持针器的开发，我们进一步改进了这些操作。
这种镊子与大多数传统镊子不同，其铰链设计为向外突出。当镊子闭合时，大铰链收纳在一旁，以防止线意外卡住。
线钩在突出的铰链上，该铰链类似于高跟鞋的鞋跟。通过使用这种镊子，不仅经验丰富的外科医生，而且经验较少的外科医生进行腹腔镜打结都变得更容易。
带有“高跟鞋”的“王者之剑”持针器可以通过简单的直线运动完成打结，使打结更容易。这种镊子将有助于减轻与体内打结相关的压力。
