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腹腔镜结直肠手术中使用一种将防粘连吸收屏障膜附着于腹腔的装置的经验。

Experience in the use of a device to attach an anti-adhesion-absorption barrier film to the abdominal cavity in laparoscopic colorectal surgery.

作者信息

Kojima Yutaka, Sakamoto Kazuhiro, Tomiki Yuichi, Mizukoshi Kosuke

机构信息

Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan.

出版信息

J Minim Access Surg. 2020 Oct-Dec;16(4):449-450. doi: 10.4103/jmas.JMAS_226_19.

Abstract

The use of laparoscopic surgery is widespread worldwide and is becoming the standard procedure. Postoperative adhesion, which is one of the typical postoperative complications, is considered to be less likely to occur compared with open surgery. However, once complications, such as small bowel obstruction or chronic abdominal pain, occur due to adhesion, the minimal invasiveness can be greatly impaired, and it can also become costly from a medical economics perspective. In the past, anti-adhesion absorption barrier films have been used to prevent adhesion, but there are many cases in which laparoscopic techniques are required, depending on the site of intraperitoneal attachment. Herein, we report a device that can easily attach an absorbent barrier preparation.

摘要

腹腔镜手术在全球范围内广泛应用,并正在成为标准手术。术后粘连是典型的术后并发症之一,与开放手术相比,被认为发生的可能性较小。然而,一旦因粘连出现诸如小肠梗阻或慢性腹痛等并发症,微创性会受到极大损害,从医疗经济学角度来看成本也会增加。过去,曾使用抗粘连吸收屏障膜来预防粘连,但根据腹膜内附着部位的不同,很多情况下需要腹腔镜技术。在此,我们报告一种能够轻松附着吸收性屏障制剂的装置。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2662/7597882/e0b3d6fb131b/JMAS-16-449-g001.jpg

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