Kawamura Y J, Saito H, Sawada T, Muto T, Nagai H
First Department of Surgery, University of Tokyo, Japan.
Dis Colon Rectum. 1995 May;38(5):550-2. doi: 10.1007/BF02148859.
A new method for laparoscopic-assisted sigmoid colectomy and lymphadenectomy is presented. The purpose of this method is to avoid complications and restrictions associated with pneumoperitoneum.
Abdominal wall is lifted up with Kirschner wires, which are placed in the middle and left lower abdomen; then a minilaparotomy, which can be created because air-tightness is not necessary, is extended at the beginning of the operation to later remove the resected specimen. Two laparoscopic instruments are inserted through the right lower abdomen. Through the minilaparotomy, the surgeon can operate with conventional instruments.
Operative time can be shortened, and surgical manipulations such as ligations and sutures are far easier than and cosmetic results are similar to those of laparoscopic surgery under pneumoperitoneum.
We believe that this technique is a safe, time-saving, and cost-beneficial technique for sigmoid colectomy, and by changing the location of the minilaparotomy, this method can also be applied to other types of gastrointestinal surgery.
介绍一种腹腔镜辅助乙状结肠切除术及淋巴结清扫术的新方法。该方法的目的是避免与气腹相关的并发症和限制。
用克氏针将腹壁提起，克氏针置于中腹部和左下腹；然后在手术开始时做一个小剖腹切口（由于不需要气密性，所以可以做），以便稍后取出切除的标本。通过右下腹插入两个腹腔镜器械。通过小剖腹切口，外科医生可以使用传统器械进行操作。
手术时间可以缩短，诸如结扎和缝合等手术操作比气腹下的腹腔镜手术容易得多，且美容效果相似。
我们认为该技术对于乙状结肠切除术是一种安全、省时且具有成本效益的技术，并且通过改变小剖腹切口的位置，该方法也可应用于其他类型的胃肠手术。
