Nozaki Tetsuo, Iida Hiroaki, Morii Akihiro, Fujiuchi Yasuyoshi, Komiya Akira, Fuse Hideki
Department of Urology, Graduate School of Medicine and Pharmaceutical Sciences for Research, University of Toyama, Toyama, Japan.
Curr Urol. 2012 Sep;6(2):99-101. doi: 10.1159/000343518. Epub 2012 Sep 27.
During laparoscopy, as in open surgery, exposure is critical. Here, we describe the use of a laparoscope holder to facilitate the liver lift during urological laparoscopic surgery.
Laparoscopic right radical nephrectomy (n = 3), partial nephrectomy (n = 1), and adrenalectomy (n = 2) were performed with 4 ports. At the beginning of the operation, the small snake retractor was placed through the 5-mm port under direct vision and the liver was lifted in the appropriate direction to optimize exposure.
The laparoscope holder provided quick, reproducible retraction to facilitate exposure. No complications occurred with its use. The device reduced the need for a dedicated second assistant to stand bedside.
We achieved significant improvements in the safety and efficiency of liver retraction during urological laparoscopic surgery using the laparoscope holder.
与开放手术一样，腹腔镜手术中的暴露至关重要。在此，我们描述一种腹腔镜固定器在泌尿外科腹腔镜手术中辅助肝脏上提的应用。
采用4个端口进行腹腔镜下右根治性肾切除术（n = 3）、部分肾切除术（n = 1）和肾上腺切除术（n = 2）。手术开始时，在直视下通过5毫米端口置入小蛇形牵开器，并将肝脏向适当方向上提以优化暴露。
腹腔镜固定器能提供快速、可重复的牵开，便于暴露。使用过程中未发生并发症。该装置减少了需要一名专门的第二助手站在床边的需求。
我们使用腹腔镜固定器在泌尿外科腹腔镜手术中显著提高了肝脏牵开的安全性和效率。
