Yoshida Makoto, Oshiro Takafumi, Fukuda Toshikatsu, Yano Masatsugu, Ochi Makoto, Okamoto Yuzo, Ono Eiji, Ohdan Hideki
Department of Surgery, Medical Corporation JR Hiroshima Hospital, Hiroshima, Japan.
Department of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Asian J Endosc Surg. 2020 Jan;13(1):131-133. doi: 10.1111/ases.12702. Epub 2019 Mar 20.
Single-incision laparoscopic surgery (SILS) is widely used in many surgical procedures in various specialties. Among the access methods used in SILS, the glove technique, which is typically similar to the multi-trocar approach, is simple, convenient, and inexpensive. However, given the absence of a fulcrum supporting the endoscopic surgical forceps, the technique is less advantageous than methods using commercially available access devices because of the poor maneuverability of the forceps.
By creating a fulcrum as a support to use with existing surgical forceps in the glove technique, we designed and used a novel method known as the "ring technique." This technique aimed to improve the maneuverability of endoscopic surgical forceps.
Placing a fulcrum resulted in the improvement of the forceps' maneuverability, which helped to ameliorate a weakness of the glove technique. The ring technique could be a useful option as a method of access in SILS.
单孔腹腔镜手术（SILS）广泛应用于多个专科的多种外科手术中。在SILS所使用的入路方法中，手套技术通常类似于多套管针入路方法，简单、方便且成本低廉。然而，由于缺乏支撑内镜手术钳的支点，该技术因手术钳的可操作性较差，比使用市售入路装置的方法更具劣势。
通过在手套技术中创建一个支点作为现有手术钳的支撑，我们设计并使用了一种名为“环技术”的新方法。该技术旨在提高内镜手术钳的可操作性。
设置一个支点可提高手术钳的可操作性，这有助于改善手套技术的一个弱点。环技术作为SILS的一种入路方法可能是一个有用的选择。
