Ishida H, Furukawa Y, Kuroda H, Kobayashi M, Tsuneoka K
Endoscopy. 1981 Mar;13(2):68-73. doi: 10.1055/s-2007-1021650.
Laparoscopy has been employed mainly in liver diseases. Although there have been many reports dealing with intraabdominal lesions other than those of the liver, there have been few concerning the pancreas. Because of its anatomical characteristics, the laparoscopic approach to the pancreas has been extremely difficult. For endoscopic diagnosis of pancreatic lesions, we have developed a 2-channel operating laparoscope. Using a supragastric approach through the lesser omentum, the scope is inserted into the lesser peritoneal sac for direct inspection of the pancreas. In this paper, the method of lesser omentotomy and the diagnostic results are described.
腹腔镜检查主要应用于肝脏疾病。尽管已有许多关于除肝脏病变以外的腹腔内病变的报道，但关于胰腺病变的报道却很少。由于胰腺的解剖学特点，经腹腔镜检查胰腺极其困难。为了对胰腺病变进行内镜诊断，我们研制了一种双通道手术腹腔镜。通过小网膜采用经胃上途径，将腹腔镜插入小网膜囊直接检查胰腺。本文描述了小网膜切开术的方法及诊断结果。
