在伴有脊柱侧凸的胆囊扭转患者行腹腔镜胆囊切除术时，用于牵拉低位肋弓的肋骨上提法
Rib-lifting method for retraction of the low-lying costal arch in laparoscopic cholecystectomy of gallbladder torsion with kyphoscoliosis.
作者信息
Kuroki Tamotsu, Tajima Yoshitsugu, Tsuneoka Noritsugu, Adachi Tomohiko, Kanematsu Takashi
机构信息
Department of Surgery, Nagasaki University, Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.
出版信息
Hepatogastroenterology. 2009 Sep-Oct;56(94-95):1268-9.
Gallbladder torsion is a rare entity. Recently, laparoscopic cholecystectomy has become accepted as a standard operation for gallbladder torsion. Unfortunately, kyphoscoliosis is a risk factor of gallbladder torsion, and kyphoscoliosis results in a low-lying costal arch and disturbs the laparoscopic view. The present paper reports a new surgical procedure, a "rib-lifting method" for retracting the low-lying costal arch at laparoscopic cholecystectomy of gallbladder torsion with kyphoscoliosis.
胆囊扭转是一种罕见的病症。近来，腹腔镜胆囊切除术已被公认为胆囊扭转的标准手术方式。不幸的是，脊柱侧凸是胆囊扭转的一个危险因素，且脊柱侧凸会导致肋弓位置较低并干扰腹腔镜视野。本文报道了一种新的手术方法，即“提肋法”，用于在伴有脊柱侧凸的胆囊扭转患者进行腹腔镜胆囊切除术时牵拉低位肋弓。
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