内镜下腕管松解术的细微差别：改善手术效果的指南
Nuances in endoscopic carpal tunnel release a guide to improving outcomes.
作者信息
Kong Yao Zu Sean, Kang Yong Chiang
机构信息
Duke-NUS Medical School, Singapore.
Singapore General Hospital, Department of Hand & Reconstructive Microsurgery, Singapore.
出版信息
J Hand Microsurg. 2024 Aug 22;16(5):100150. doi: 10.1016/j.jham.2024.100150. eCollection 2024 Dec.
Abstract
Endoscopic technique of carpal tunnel release is widely accepted as successful and safe as long as the surgeon is well-trained. Compared to the traditional open technique, there exists a steep learning curve for familiarisation of equipment, training of hand-eye coordination and appreciating tactile feedback. The available literature and manuals do not illustrate the practical challenges encountered during the procedure. We describe a guide for single-portal technique under local anesthesia, including surgical planning, cautions, and troubleshooting processes based on our experience with 136 cases in Asian hands which is known to be smaller.
摘要
只要外科医生训练有素，内镜下腕管松解术就被广泛认为是成功且安全的。与传统的开放技术相比，在熟悉设备、训练手眼协调以及领会触觉反馈方面存在陡峭的学习曲线。现有的文献和手册并未阐明该手术过程中遇到的实际挑战。我们基于对136例亚洲人较小手部病例的经验，描述了一种局部麻醉下单门户技术的指南，包括手术规划、注意事项以及故障排除过程。
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