Cakir Tebessum, Tuney Davut, Esmaeilzadem Safa, Aktan A Ozdemir
Department of General Surgery, Marmara University School of Medicine, Istanbul, Turkey.
J Hepatobiliary Pancreat Surg. 2006;13(3):225-7. doi: 10.1007/s00534-005-1024-x.
BACKGROUND/PURPOSE: For laparoscopic surgery, the creation of pneumoperitoneum still remains a must. The insertion of a Veress needle or a trocar is never perfectly safe, and almost every kind of intraabdominal organ injury due to these insertions has been reported worldwide. Here, we describe a safe technique for creating pneumoperitoneum.
For the creation of pneumoperitoneum, under direct vision, the linea alba was elevated with two towel clips and then the Veress needle was inserted. We reviewed 368 patients operated on with this technique for complication rates. Ultrasound images were obtained before and during abdominal-wall lifting in 10 patients.
There were no injuries due to the insertion of the Veress needle or trocars. In 90% of the patients, pneumoperitoneum was created successfully on the first attempt. Ultrasound examination demonstrated a mean extra safe area of 11.8 mm during abdominal-wall lifting with this technique.
Elevating the linea alba during Veress-needle insertion is safe.
背景/目的：对于腹腔镜手术而言，建立气腹仍然是必不可少的步骤。Veress针或套管针的插入并非绝对安全，全球范围内几乎已报道了因这些插入操作导致的各类腹腔内器官损伤。在此，我们描述一种建立气腹的安全技术。
为建立气腹，在直视下，用两个巾钳提起白线，然后插入Veress针。我们回顾了采用该技术进行手术的368例患者的并发症发生率。对10例患者在腹壁提起前和提起过程中获取了超声图像。
未发生因插入Veress针或套管针导致的损伤。90%的患者首次尝试即成功建立气腹。超声检查显示采用该技术腹壁提起过程中的平均额外安全区域为11.8毫米。
在插入Veress针时提起白线是安全的。
