Hasuike Y, Tomita N, Sakon M, Tamura S, Umeshita K, Kanai T, Gotoh M, Monden M
Department of Surgery II, Osaka University, Japan.
Surg Laparosc Endosc. 1996 Aug;6(4):307-9.
We developed a maneuver for holding and lifting the intraperitoneal organs from the extracorporeal side using a new instrument, the leading bar, by which we could guide the tape or the thread to the outside of the abdomen. In the case of cholecystolithiasis with a thickened wall or a stone stuck in the neck, we lifted the round ligament and gallbladder for better exposure of Calot's triangle, using the tape or thread through the abdominal wall to the extracorporeal side, and then clamped them with Kocher's forceps. With this technique, a good view of Calot's triangle was maintained so that the surgeon could expose the cystic duct easily and safely using both hands.
我们使用一种新器械——导杆，开发了一种从体外牵拉和提起腹腔内器官的操作方法，通过该导杆我们可以将带子或线引导至腹壁外。对于胆囊壁增厚或结石嵌顿于颈部的胆囊结石病例，我们通过腹壁将带子或线引导至体外，提起圆韧带和胆囊以更好地暴露胆囊三角，然后用柯赫尔钳夹住它们。通过这种技术，可以很好地显露胆囊三角，以便外科医生能够用双手轻松、安全地暴露胆囊管。
