Bowden T A, Hooks V H, Mansberger A R
Ann Surg. 1980 Jun;191(6):680-7. doi: 10.1097/00000658-198006000-00004.
A four year experience with the adaptation of the flexible fiberoptic endoscope to the intraoperative environment is presented in 30 patients. The technique of intraoperative endoscopy was utilized in a wide variety of difficult gastrointestinal surgical problems to include the location of the site and cause of bleeding of obscure etiology; resolution of intraoperative dilemmas without the necessity of opening abdominal viscera; resection of lesions during operations conducted for other pathological processes; and enhancement of diagnosis at laparotomy. There were no complications from the use of intraoperative endoscopy and the technique was beneficial in 28 of the 30 patients (93.3%). Limiting factors in the full utilization of the endoscope at celiotomy were dense adhesions with a shortened mesentery and massive hemorrhage with blood obscuring the intestinal lumen.
本文介绍了30例患者在术中环境中使用可弯曲纤维内镜的四年经验。术中内镜技术被用于多种复杂的胃肠外科问题，包括不明原因出血部位和原因的定位；无需打开腹腔脏器即可解决术中难题；在因其他病理过程进行的手术中切除病变；以及在剖腹手术时加强诊断。术中使用内镜未出现并发症，该技术在30例患者中的28例（93.3%）中有益。剖腹手术中充分利用内镜的限制因素是肠系膜缩短导致的致密粘连和血液遮挡肠腔导致的大量出血。
