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失落的穿刺针:腹腔镜手术中的难题。

The lost needle: a laparoscopic dilemma.

作者信息

Smith B M, Brown R A, Lobe T E

机构信息

University of Tennessee, Memphis.

出版信息

J Laparoendosc Surg. 1993 Aug;3(4):425-6. doi: 10.1089/lps.1993.3.425.

DOI:10.1089/lps.1993.3.425
PMID:8268519
Abstract

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.

摘要

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。

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