Eubanks S, Newman L, Lucas G
Department of General Surgery, Georgia Baptist Medical Center, Atlanta 30312.
Surg Laparosc Endosc. 1993 Feb;3(1):2-5.
Laparoscopic surgery has recently been encouraged as an alternative to open procedures in patients infected with the human immunodeficiency virus (HIV). The laparoscopic technique reduces exposure to blood products and sharp instruments; however, it exposes the surgical team to the HIV-infected patient in a manner not encountered during open procedures. The evacuation of the pneumoperitoneum during laparoscopic procedures releases aerosolized HIV-infected blood and peritoneal fluid into the operative suite. Evacuation of the penumoperitoneum into a closed system and appropriate precautions during instrument changes will diminish the exposure of the surgical team to aerosolized HIV-infected blood and peritoneal fluid.
最近，腹腔镜手术被推荐作为感染人类免疫缺陷病毒（HIV）患者开放性手术的替代方案。腹腔镜技术减少了对血液制品和锐器的接触；然而，它使手术团队以一种在开放性手术中不会遇到的方式接触感染HIV的患者。腹腔镜手术过程中气腹的排空会将雾化的感染HIV的血液和腹膜液释放到手术室中。将气腹排入封闭系统并在更换器械时采取适当的预防措施，将减少手术团队接触雾化的感染HIV的血液和腹膜液。
