Nozaki Tetsuo, Asao Yoshihiro, Ichimatsu Keisuke, Ito Takatoshi, Yasuda Kenji, Watanabe Akihiko, Komiya Akira, Fuse Hideki
Department of Urology, Graduate School of Medicine and Pharmaceutical Sciences for Research, University of Toyama, Toyama, Japan.
J Laparoendosc Adv Surg Tech A. 2010 Dec;20(10):843-6. doi: 10.1089/lap.2010.0294. Epub 2010 Oct 28.
Laparoscopic surgery has not yet met with widespread acceptance due to its degree of technical difficulty. The laparoscopic radical nephrectomy procedure was improved with the aid of an abdominal wall sealing device, a wound retractor, and a surgical glove.
A 5 cm skin incision was made at the beginning of the operation. The Alexis wound retractor S was set up through this small incision. The wrist portion of the surgical glove (size 8-0) was then used to cover the outer ring of the wound retractor to maintain pneumoperitoneum. The surgeon can use most of the usual surgical instruments through the wound retractor during the laparoscopic surgery.
These procedures were successfully conducted in all cases without open conversion, and no postoperative complications were observed.
Glove-assisted laparoscopic surgery can be used to perform advanced laparoscopic procedures. This new technique made laparoscopic abdominal surgery easier and safer for beginners in laparoscopic surgery and skilled surgeons in open surgery.
由于技术难度，腹腔镜手术尚未得到广泛接受。借助腹壁封闭装置、伤口牵开器和手术手套对腹腔镜根治性肾切除术进行了改进。
手术开始时做一个5厘米的皮肤切口。通过这个小切口安装Alexis伤口牵开器S。然后用手术手套（8-0号）的腕部覆盖伤口牵开器的外环以维持气腹。在腹腔镜手术期间，外科医生可以通过伤口牵开器使用大多数常用的手术器械。
所有病例均成功进行了这些操作，无需转为开放手术，且未观察到术后并发症。
手套辅助腹腔镜手术可用于进行高级腹腔镜手术。这项新技术使腹腔镜腹部手术对腹腔镜手术初学者和开放手术熟练外科医生来说更容易、更安全。
