针对困难病例的有效、简单、便捷的腹腔镜端口闭合手术方法。
Effective, simple, easy procedure for laparoscopic port closure in difficult cases.
作者信息
Lasheen Ahmed E, Safwat Khaled, Elsheweal AbdElhafez, Ibrahim Amr, Mahmoud Ramadan, Alkilany Mohammed, Ismaeil Ashraf
机构信息
General, Laparoscopic Department, Zagazig University Hospital, Zagazig University, 44519, Egypt.
出版信息
Ann Med Surg (Lond). 2016 Jul 19;10:36-40. doi: 10.1016/j.amsu.2016.06.014. eCollection 2016 Sep.
BACKGROUND
Laparoscopic and rebotic surgery is widely practiced in modern medicine. The operative procedure is not complete until the port sites are closed with a fascial closure. Good fascial closure still represents problem, especially in difficult obese patients. This study reported simple technique is suitable in such cases.
MATERIAL AND METHODS
We herein describe a simple technique for fascial closure after Laparoscopic surgery using percutaneous transabdominal approach by using two looped needles in 87 obese patients. This technique was done while the trocar sheath in its position.
RESULTS
The procedure was used in 87 patients (69 females and 18 males) after laparoscopic cholecystectomy with mean body mass index 35.5 kg/m2 and mean age 47.1 years from May 2013 through June 2015. No intra-operative incidents and no port sites hernias were reported during a mean follow up of 18 months.
CONCLUSION
The procedure is easy to perform, safe, and effective for fascial port site closure in difficult obese (thick abdominal wall and oblique port wound) cases.
背景
腹腔镜手术和机器人手术在现代医学中广泛应用。直到端口部位通过筋膜缝合关闭，手术过程才算完成。良好的筋膜缝合仍然是个问题，尤其是在肥胖患者中。本研究报告了一种适用于此类情况的简单技术。
材料与方法
我们在此描述一种在87例肥胖患者中使用经皮经腹途径、通过两根环形针进行腹腔镜手术后筋膜缝合的简单技术。该技术是在套管鞘处于原位时进行的。
结果
从2013年5月至2015年6月，该手术应用于87例患者（69例女性和18例男性），这些患者接受了腹腔镜胆囊切除术后，平均体重指数为35.5kg/m²，平均年龄为47.1岁。在平均18个月的随访期间，未报告术中事件和端口部位疝。
结论
该手术操作简单、安全，对于肥胖（腹壁厚且端口伤口倾斜）患者的筋膜端口部位关闭有效。
Zotero 插件