技术问题对小儿腹腔镜手术操作过程的影响
The Effect of Technical Problems on the Operation Process in Pediatric Laparoscopy.
作者信息
Kuzdan Mehmet Özgür, Alim Reyhan, Karaaslan Birgül, Çelebi Süleyman, Seyithan Özaydin
机构信息
Department of Pediatric Surgery, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.
出版信息
Sisli Etfal Hastan Tip Bul. 2019 Jul 11;53(2):110-113. doi: 10.14744/SEMB.2018.74436. eCollection 2019.
OBJECTIVES
The aim of this study was to determine the technical problems in pediatric laparoscopic surgery and to evaluate its results.
METHODS
The technical problems encountered in 30 laparoscopic operations performed between 3 November 2012 and 31 December 2017 were retrospectively analyzed.
RESULTS
The technical problems experienced in 30 laparoscopic surgeries were analyzed. There were 6 splenectomies, 15 appendectomies, 1 hernioplasty, 2 ovarian cyst excisions, 4 cholecystectomies, 1 intra-abdominal exploration of the testes, and 1 varicocele surgery. The technical errors included instrument failure in 10, human errors in 8, device problems in 12, and multiple problems in 2 cases. In 5 patients, we switched to open surgery.
CONCLUSION
Technical problems prolong the operation, and cause a conversion to open surgery. In order to solve these problems, it is necessary to register and report these problems and take the necessary preventive measures.
目的
本研究旨在确定小儿腹腔镜手术中的技术问题并评估其结果。
方法
回顾性分析2012年11月3日至2017年12月31日期间进行的30例腹腔镜手术中遇到的技术问题。
结果
分析了30例腹腔镜手术中遇到的技术问题。其中有6例脾切除术、15例阑尾切除术、1例疝修补术、2例卵巢囊肿切除术、4例胆囊切除术、1例腹腔内睾丸探查术和1例精索静脉曲张手术。技术失误包括10例器械故障、8例人为失误、12例设备问题以及2例存在多种问题。5例患者转为开放手术。
结论
技术问题会延长手术时间并导致转为开放手术。为了解决这些问题，有必要对这些问题进行登记和报告并采取必要的预防措施。
Zotero 插件