Banting S, Shimi S, Vander Velpen G, Cuschieri A
Department of Surgery, Ninewells Hospital and Medical School, University of Dundee, Scotland.
Surg Endosc. 1993 Jan-Feb;7(1):57-9. doi: 10.1007/BF00591240.
A method of abdominal wall lift has been developed and evaluated clinically in this unit during the past 18 months. It permits the conduct of laparoscopic procedures at an intraabdominal pressure of 6-8 mm Hg. The technique was introduced for laparoscopic surgery in patients with preexisting cardiac disease and chronic bronchitis. The procedure, by lifting both the abdominal wall and the falciform ligament together, also elevates the central portion of the liver (segments 3-5), thereby improving the surgical exposure. For this reason it is now also used in fit patients with ptotic livers or hypertrophied quadrate lobes undergoing laparoscopic cholecystectomy and common bile duct exploration, and to facilitate left subhepatic exposure in patients during laparoscopic antireflux surgery and vagotomy.
在过去18个月里，本单位研发并对一种腹壁提升方法进行了临床评估。该方法可在腹腔内压力为6 - 8毫米汞柱的情况下进行腹腔镜手术。这项技术是为患有心脏病和慢性支气管炎的患者进行腹腔镜手术而引入的。通过同时提升腹壁和镰状韧带，该手术还能抬高肝脏中央部分（第3 - 5段），从而改善手术视野。因此，它现在也用于适合进行腹腔镜胆囊切除术和胆总管探查的肝脏下垂或方叶肥大的患者，以及在腹腔镜抗反流手术和迷走神经切断术中方便患者左肝下暴露。
