Schlossnickel B, Leibl B, Bittner R
Abteilung für Allgemeinchirurgie, Marienhospital Stuttgart.
Chirurg. 1993 Aug;64(8):666-7.
The rare case of a postoperatively incarcerated cicatricial hernia in an auxiliary instrument channel after laparoscopic cholecystectomy is reported. To avoid such a complication one should: 1. Oblique insertion through the abdominal wall of all operation trocars. 2. Placing the lateral auxiliary instrument channel through the straight abdominal muscle under consideration of the epigastric vessels instead of going through the white line.
报告了1例腹腔镜胆囊切除术后辅助器械通道发生术后嵌顿性瘢痕性疝的罕见病例。为避免此类并发症,应做到:1. 所有手术套管针经腹壁斜行插入。2. 考虑到腹壁上血管,将外侧辅助器械通道置于腹直肌下方,而非经白线置入。