Dorsey J H, Tabb C R
Department of Gynecology, Greater Baltimore Medical Center, Maryland.
Obstet Gynecol Clin North Am. 1991 Sep;18(3):613-7.
The use of the Adair Verres needle and an optical catheter system has enabled us to perform both diagnostic and laser mini-laparoscopy. The prefix mini refers to the fact that the three incisions placed in the abdomen were 3 mm in diameter. There were no complications in our pilot series. Because initial inspections of the abdomen may localize abnormalities such as intestinal adhesions and may show the surgeon a safer approach to subsequent trocar placement, nothing is lost and much may be gained by routinely performing mini-laparoscopy. The picture produced on the video monitor is now of excellent quality and seems likely to improve. In the near future, a three-chip camera, which is able to produce even better resolution, will become available. The further development of 3-mm instrumentation promises additional expansion in operative capability. Although mini-laparoscopy will not replace conventional operative laparoscopy with the 10-mm telescope in the near future, a significant proportion of diagnostic and minimally to moderately involved operative procedures may be safely carried out by this method.
使用阿代尔韦雷斯针和光学导管系统使我们能够进行诊断性和激光微型腹腔镜检查。前缀“微型”指的是在腹部做的三个切口直径为3毫米这一事实。在我们的试点系列中没有出现并发症。由于对腹部的初步检查可以定位诸如肠粘连等异常情况，并能向外科医生展示后续套管针放置的更安全方法，所以常规进行微型腹腔镜检查不会有任何损失，反而可能有很多收获。现在视频监视器上显示的图像质量非常好，而且似乎还有改进的可能。在不久的将来，能够产生更高分辨率的三芯片摄像机会面市。3毫米器械的进一步发展有望进一步扩大手术能力。虽然微型腹腔镜检查在不久的将来不会取代使用10毫米望远镜的传统手术腹腔镜检查，但相当一部分诊断性和轻度至中度复杂的手术操作可以通过这种方法安全地进行。
