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一种用于腹腔镜检查术后切口关闭的简单、有效技术。

A simple, effective technique for port-site closure after laparoscopy.

作者信息

Botea Florin, Torzilli Guido, Sarbu Vasile

机构信息

Liver Surgery Unit, 3rd Department of General Surgery, University of Milan, Faculty of Medicine, Humanitas Clinical Institute, Milan, Italy.

出版信息

JSLS. 2011 Jan-Mar;15(1):77-80. doi: 10.4293/108680811X13022985131778.

Abstract

BACKGROUND AND OBJECTIVES

Fascial closure of port sites represents a challenging issue in laparoscopic surgery. The aim of this article is to introduce a procedure that allows the safe suturing of the abdominal fascia in these wounds.

METHODS

We herein describe a simple technique for fascial closure after laparoscopy using a transcutaneous approach and standard surgical instruments for suture.

RESULTS

The method was used in 34 patients with no intraoperative incidents and no port-site hernias during a mean follow-up of 23.9 months (median 20.5, range 5 to 47).

CONCLUSION

The procedure is easy to perform, safe, fast, and inexpensive.

摘要

背景与目的

在腹腔镜手术中,对手术切口部位的筋膜进行缝合是一个具有挑战性的问题。本文旨在介绍一种能够安全缝合这些伤口处腹部筋膜的方法。

方法

我们在此描述一种腹腔镜术后使用经皮入路和标准外科缝合器械进行筋膜缝合的简单技术。

结果

该方法应用于34例患者,术中无并发症发生,平均随访23.9个月(中位数20.5个月,范围5至47个月)期间无手术切口部位疝发生。

结论

该方法操作简便、安全、快速且成本低廉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a78/3134702/e43a6874bec6/jls0011127110001.jpg

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