Eden C G, Ison K T, Popert R J, Carter P G, Coptcoat M J
Department of Urology, King's College Hospital, London.
Br J Urol. 1993 Jul;72(1):1-5. doi: 10.1111/j.1464-410x.1993.tb06445.x.
The ever increasing amount of laparoscopic instrumentation and the lack of any objective comparison make choosing the most appropriate equipment a difficult task for the urological neo-laparoscopist. All major manufacturers of laparoscopic equipment were invited to submit as much of their equipment as possible for inspection. A selection of ports, hand instruments, haemostatic devices and imaging systems was then tested in a laboratory and clinical setting. Costings are provided for evaluated ports, hand instruments and imaging systems. Vessels with a diameter greater than 7 mm, such as renal artery and vein, should be secured with a linear stapler-cutter. The optics of the Olympus OTV-S4, CLV-10 light source, Olympus light cable and A5254A telescope are superior to the other imaging systems tested. Laparoscopic equipment is diverse in specification, performance and cost. Due consideration must be given to these factors when purchasing equipment to avoid disappointment and wastage of resources, particularly with regard to disposable instruments and imaging systems.
腹腔镜器械数量的不断增加以及缺乏客观比较,使得泌尿外科新腹腔镜医生选择最合适的设备成为一项艰巨任务。所有主要腹腔镜设备制造商都被邀请尽可能多地提交其设备以供检查。然后在实验室和临床环境中对一系列端口、手动器械、止血装置和成像系统进行了测试。文中给出了经评估的端口、手动器械和成像系统的成本估算。直径大于7mm的血管,如肾动脉和静脉,应用线性切割吻合器进行结扎。奥林巴斯OTV-S4光学系统、CLV-10光源、奥林巴斯光缆和A5254A望远镜在测试的其他成像系统中表现更优。腹腔镜设备在规格、性能和成本方面各不相同。购买设备时必须充分考虑这些因素,以避免失望和资源浪费,尤其是对于一次性器械和成像系统。