Kondrup James Dana, Anderson Frances R
Department of OB/GYN, Our Lady of Lourdes Memorial Hospital, Binghamton, NY.
Our Lady of Lourdes Memorial Hospital, Binghamton, NY.
Surg Technol Int. 2015 Nov;27:169-72.
As minimally invasive gynecologic surgery (MIGS) becomes more complex, and cases more difficult, surgeons must adapt to the challenges not only by using innovative equipment but also using the lessons learned from other disciplines. Many years after general surgeons learned the "art of laparoscopy," it is clear that general surgeons in the United States-and those around the world-have surpassed the "masters of laparoscopy" (gynecologists) with their use of new techniques and new equipment. Surgeons are using less traumatic graspers and perform a higher percentage of surgeries laparoscopically than gynecologic surgeons. With the essential need for more integrated ergonomics and a suitable laparoscopic operating room environment, this article describes the benefits of using angled laparoscopes and includes basic techniques to enable gynecologic surgeons to master "driving" the angled laparoscope.
随着微创妇科手术（MIGS）变得越来越复杂，病例越来越困难，外科医生不仅要通过使用创新设备，还要借鉴其他学科的经验教训来应对挑战。普通外科医生学会“腹腔镜技术的艺术”多年后，很明显，美国乃至世界各地的普通外科医生在新技术和新设备的使用上已经超越了“腹腔镜技术大师”（妇科医生）。外科医生使用的抓钳创伤更小，腹腔镜手术的比例也高于妇科医生。鉴于对更综合的人体工程学和合适的腹腔镜手术室环境的迫切需求，本文介绍了使用角度腹腔镜的好处，并包括一些基本技术，以使妇科医生能够掌握“操控”角度腹腔镜。
