Tinelli Andrea, Gasbarro Nicola, Lupo Pietro, Malvasi Antonio, Tsin Daniel A, Davila Fausto, Dominguez Guillermo, Mettler Liselotte, Wetter Paul Alan
Department of Obstetrics & Gynecology, Vito Fazzi Hospital, Lecce, Italy.
JSLS. 2012 Apr-Jun;16(2):276-9. doi: 10.4293/108680812x13427982376464.
The problem of laparoscopic entry is currently still unsolved, and despite the various techniques adopted by the surgical community, it has not yet been determined which is the correct access in all patients. Add to this the problem of safe ancillary port introduction; all surgeons must avoid vascular and visceral damage. The 2 most common problems with second port trocars are inferior and superior epigastric artery damage, and bowel loops and adhesions. Over the years, we have developed 2 steps that are very useful to avoid iatrogenic injuries to vessels and viscera. In this brief report, we explain the following 2 simple steps, called by the authors "yellow island" port entry and second trocar "tip entry guided" by a suction cannula. In our practice of more than 3400 conventional laparoscopies, with data from patients with different characteristics, surgeons who have introduced laparoscopic surgery into their daily practice might teach these steps to young fellows and trainees.
腹腔镜进入问题目前仍未解决，尽管外科界采用了各种技术，但尚未确定哪种方法适用于所有患者。此外，还有安全引入辅助端口的问题；所有外科医生都必须避免血管和内脏损伤。第二个端口套管针最常见的两个问题是腹壁上、下动脉损伤以及肠袢和粘连。多年来，我们开发了两个非常有用的步骤，以避免对血管和内脏造成医源性损伤。在本简要报告中，我们解释以下两个简单步骤，作者称之为“黄岛”端口进入和由吸引套管引导的第二个套管针“尖端进入”。在我们超过3400例常规腹腔镜手术的实践中，结合不同特征患者的数据，已将腹腔镜手术引入日常实践的外科医生可将这些步骤传授给年轻同事和学员。
