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在腹腔镜手术中使用环形牵开器以利于标本取出。

Use of a ring retractor to facilitate specimen removal in laparoscopic surgery.

作者信息

Hong Deok Ho, Kim Miseon, Kim Kidong, Suh Dong Hoon, No Jae Hong, Kim Yong Beom

机构信息

Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea.

Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.

出版信息

Obstet Gynecol Sci. 2020 Jul;63(4):548-549. doi: 10.5468/ogs.20025. Epub 2020 Jun 26.

DOI:10.5468/ogs.20025
PMID:32689781
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7393762/
Abstract

OBJECTIVE

To introduce a new surgical technique for specimen removal during laparoscopic surgery.

METHODS

The surgical technique was described, pictured, and recorded. The surgery was performed in a tertiary hospital.

RESULTS

During laparoscopic surgery, the specimen is resected from the surrounding tissues and contained in a specimen bag to prevent spillage. The edges of the bag are then pulled through the trocar site, and the specimen-protected by the bag-is removed. To facilitate the removal process and to prevent spillage, assistants will normally hold the edges of the bag during the process. To mitigate the need for assistants to hold the edges of the bag, we wrapped the pulled edges of the bag around a ring retractor, which is a plastic ring, to straighten the bag. This technique enabled the operator to remove the specimen without needing an assistant.

CONCLUSION

The technique we describe here, using a ring retractor for specimen removal, is useful when assistants are unavailable to help during laparoscopic surgery.

摘要

目的

介绍一种腹腔镜手术中切除标本的新手术技术。

方法

描述、图示并记录该手术技术。手术在一家三级医院进行。

结果

在腹腔镜手术过程中,将标本从周围组织中切除并装入标本袋以防止溢出。然后将袋子边缘从套管针穿刺部位拉出,受袋子保护的标本被取出。为便于取出过程并防止溢出,助手通常会在此过程中握住袋子边缘。为减少对助手握住袋子边缘的需求,我们将袋子拉出的边缘缠绕在一个环形牵开器(一种塑料环)上,以使袋子变直。该技术使术者无需助手即可取出标本。

结论

我们在此描述的使用环形牵开器取出标本的技术,在腹腔镜手术中没有助手帮忙时很有用。

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Obstet Gynecol Sci. 2022 May;65(3):283-285. doi: 10.5468/ogs.21358. Epub 2022 Jan 26.

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Ann Hepatobiliary Pancreat Surg. 2019 Nov;23(4):344-352. doi: 10.14701/ahbps.2019.23.4.344. Epub 2019 Nov 29.
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Transumbilical extraction of 151-300-g myomas without morcellator versus conventional laparoscopic myomectomy with power morcellator.不使用粉碎器经脐取出151 - 300克肌瘤与使用电动粉碎器的传统腹腔镜子宫肌瘤切除术的比较
Gynecol Minim Invasive Ther. 2017 Oct-Dec;6(4):162-166. doi: 10.1016/j.gmit.2017.06.003. Epub 2017 Jul 8.
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Solo Single-Incision Laparoscopic Resectional Roux-en-Y Gastric Bypass for Morbid Obesity with Metabolic Syndrome.单孔单切口腹腔镜切除 Roux-en-Y 胃旁路术治疗伴有代谢综合征的病态肥胖症
Obes Surg. 2017 Dec;27(12):3314-3319. doi: 10.1007/s11695-017-2934-9.
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Solo-Surgeon Single-Port Laparoscopic Anterior Resection for Sigmoid Colon Cancer: Comparative Study.单术者单孔腹腔镜乙状结肠癌前切除术:对比研究
J Laparoendosc Adv Surg Tech A. 2018 Mar;28(3):330-336. doi: 10.1089/lap.2017.0375. Epub 2017 Aug 22.
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J Robot Surg. 2015 Sep;9(3):211-3. doi: 10.1007/s11701-015-0518-z. Epub 2015 Jun 30.