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腹腔镜胆囊切除术的新观念与改良器械

New ideas and improved instrumentation for laparoscopic cholecystectomy.

作者信息

Berci G, Sackier J M, Paz-Partlow M

机构信息

Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048.

出版信息

Surg Endosc. 1991;5(1):1-3. doi: 10.1007/BF00591376.

DOI:10.1007/BF00591376
PMID:1831298
Abstract

A new cholangiograsper cannula was developed through which a Fr 4 or 5 ureteric cannula can be advanced into the incised cystic duct and held in a water-tight position. This instrument facilitates intraoperative cholangiography. A plastic trocar stylet eliminates the metal shadow of the trocar during cholangiography. A new "laparocamera" is described where camera and telescope are built together in one unit decreasing the need for additional manipulation during the procedure. A camera holder driven by air helps the operator to keep his/her hands free. The need for a third assistant is avoided by inserting the camera into a (presterilized) holder, the position of which is controlled by press buttons.

摘要

一种新型胆管抓取套管已研发出来,通过它可将4F或5F输尿管套管推进切开的胆囊管并保持水密状态。该器械便于术中胆管造影。一种塑料套管针芯可消除胆管造影时套管针的金属阴影。描述了一种新型“腹腔镜摄像机”,其摄像头和望远镜集成在一个单元中,减少了手术过程中额外操作的需求。由空气驱动的摄像头固定器可帮助操作者解放双手。将摄像头插入一个(预先消毒的)固定器中,通过按钮控制其位置,从而避免了对第三名助手的需求。

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1
New ideas and improved instrumentation for laparoscopic cholecystectomy.腹腔镜胆囊切除术的新观念与改良器械
Surg Endosc. 1991;5(1):1-3. doi: 10.1007/BF00591376.
2
A new technique of laparoscopic cholangiography.一种新的腹腔镜胆管造影技术。
J Laparoendosc Surg. 1992 Apr;2(2):127-30. doi: 10.1089/lps.1992.2.127.
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Laparoscopic sonography. An alternative to routine intraoperative cholangiography?腹腔镜超声检查。常规术中胆管造影的替代方法?
Arch Surg. 1994 Jul;129(7):694-700. doi: 10.1001/archsurg.1994.01420310024004.
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Routine or selected intraoperative cholangiography during laparoscopic cholecystectomy?腹腔镜胆囊切除术期间进行常规或选择性术中胆管造影?
Am J Surg. 1991 Mar;161(3):355-60. doi: 10.1016/0002-9610(91)90597-7.
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[Intraoperative cholangiography in laparoscopic cholecystectomy. Our experience].[腹腔镜胆囊切除术中的术中胆管造影。我们的经验]
Minerva Chir. 1995 Jul-Aug;50(7-8):633-6.
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The importance of intraoperative cholangiography during laparoscopic cholecystectomy.腹腔镜胆囊切除术中术中胆管造影的重要性。
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A metal cannula for laparoscopic choledochography.一种用于腹腔镜胆管造影术的金属套管。
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Cystic-duct cannula and cannula-holding clamp for operative cholangiography.用于手术胆管造影的胆囊管插管及插管固定夹。
Lancet. 1972 Aug 26;2(7774):409. doi: 10.1016/s0140-6736(72)91802-8.
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[Intraoperative digital cholangiography during laparoscopic cholecystectomy interventions].
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[Technique of intraoperative laparoscopic cholangiography].[术中腹腔镜胆管造影技术]
Helv Chir Acta. 1992 Aug;59(2):427-30.

引用本文的文献

1
Retrospective and prospective multi-institutional laparoscopic cholecystectomy study organized by the Society of American Gastrointestinal Endoscopic Surgeons.
Surg Endosc. 1992 Jul-Aug;6(4):169-76; discussion 177-8. doi: 10.1007/BF02210874.

本文引用的文献

1
TV laparoscopy. A new dimension in visualization and documentation of pelvic pathology.电视腹腔镜检查:盆腔病理学可视化与记录的新维度。
J Reprod Med. 1986 Jul;31(7):585-8.