Smith B M, Brown R A, Lobe T E
University of Tennessee, Memphis.
J Laparoendosc Surg. 1993 Aug;3(4):425-6. doi: 10.1089/lps.1993.3.425.
A case is presented in which a curved needle became lost during extracorporeal suturing in laparoscopic surgery. Maneuvers to find the needle were fruitless until an intraoperative x-ray showed it was stuck in the flapper mechanism of a laparoscopic cannula. Caution is given against the use of "pop-off" needles during extracorporeal suturing and an x-ray of cannulae is suggested when a lost needle cannot be found using routine maneuvers.
本文报道了一例在腹腔镜手术体外缝合过程中弯针丢失的病例。在术中X线显示弯针卡在腹腔镜套管的瓣门机制之前,寻找弯针的操作均未成功。文中提醒在体外缝合时应避免使用“弹出式”缝针,并且当常规操作无法找到丢失的缝针时,建议对套管进行X线检查。