Marin G, Bergamo S, Miola E, Caldironi M W, Dagnini G
Endoscopy. 1987 Jul;19(4):147-9. doi: 10.1055/s-2007-1018265.
Through the use of echography after establishing the pneumoperitoneum, it is possible to recognize the presence of intra-abdominal adhesions and the distribution of gas. Using this method, the laparoscopist is able to form a picture of the intra-abdominal situation with regard to the site of the adhesions and the pneumoperitoneal chambers. This enables him to choose the best site for the insertion of the trocar both for the avoidance of possible incidents, and for optimal inspection. This method has been successfully employed in 39 patients with large abdominal surgical scars. Laparoscopy confirmed the echographic findings in almost all the cases. Thus, in 38% of cases the laparoscopic "inspection site" chosen was atypical with respect to the usual sites for the insertion of the laparoscope, but always proved to be the most suitable.
在建立气腹后通过超声检查，可以识别腹腔内粘连的存在和气的分布。使用这种方法，腹腔镜手术医生能够形成关于粘连部位和气腹腔的腹腔内情况的图像。这使他能够选择最佳的套管针插入部位，既避免可能发生的意外，又能进行最佳检查。该方法已成功应用于39例有大型腹部手术瘢痕的患者。腹腔镜检查在几乎所有病例中都证实了超声检查结果。因此，在38%的病例中，所选择的腹腔镜“检查部位”相对于通常的腹腔镜插入部位是非典型的，但总是被证明是最合适的。
