Lupascu Cristian, Dabija Marius, Ursulescu Corina, Andronic Dan, Vasiluta Ciprian, Ursaru Manuela
University of Medicine and Pharmacy, St. Spiridon Hospital, Iaşi, Romania.
JSLS. 2011 Apr-Jun;15(2):257-60. doi: 10.4293/108680811X13071180407113.
To remove a foreign body from the peritoneal cavity in laparoscopic surgery, 2 or 3 ports are usually used. We have recently performed such a removal using a single 10-mm transumbilical port, a 0-degree laparoscope, a Farabeuf retractor, and a laparoscopic grasping forceps.
Two patients with ventriculoperitoneal shunt catheter (V-P shunt) were admitted to our unit during the last year. They previously had a shunt catheter implanted for hydrocephalus of unknown cause. The complete migration of the ventriculoperitoneal shunt catheter into the peritoneal cavity was observed in these patients 12 and 7 years after the implantation. The laparoscopic removal of the migrated catheter was decided on. Its presence and location were confirmed by the use of a 0-degree laparoscope, through a 10-mm trocar port. The catheter was held and pulled out using a grasping forceps that was pushed in just beside the trocar port.
The laparoscopic approach enables safe removal of a foreign body in the peritoneal cavity. The procedure can be performed using a single port.
在腹腔镜手术中，为从腹腔取出异物，通常会使用2个或3个端口。我们最近使用一个10毫米的经脐端口、一个0度腹腔镜、一个法氏拉钩和一把腹腔镜抓钳进行了这样的取出操作。
去年，我们收治了两名脑室腹腔分流管（V-P分流管）患者。他们之前因不明原因的脑积水植入了分流管。在植入后12年和7年时，观察到这两名患者的脑室腹腔分流管完全移入了腹腔。于是决定通过腹腔镜取出移位的导管。通过一个10毫米的套管针端口，使用0度腹腔镜确认了导管的存在及其位置。在套管针端口旁边插入一把抓钳，抓住并拔出导管。
腹腔镜方法能够安全地从腹腔取出异物。该操作可以通过单个端口进行。
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