Eaves F F, Bostwick J, Nahai F
Division of Plastic, Reconstructive, and Maxillofacial Surgery, Emory University, Atlanta, Georgia, USA.
Clin Plast Surg. 1995 Oct;22(4):591-603.
The use of endoscopic techniques mandates the need for basic understanding of endoscopic instrumentation and operating room setup in order to avoid procedural delays and surgeon frustration. The electronic systems for endoscopic surgery-cameras, light sources, monitors, and so on-have been well developed for other specialties and are fully adaptable to endoscopic plastic surgical procedures. Hand instruments, however, are in the early phases of refinement for subcutaneous plastic surgical procedures and will undoubtedly improve over the next several years. Adaptation of existing instrumentation and development of new operating tools continue and promise to make endoscopic plastic surgical procedures of the future more ergonomic and efficient. Similarly, while operating room setup for endoscopic plastic surgical procedures varies depending on individual circumstances, application of a few basic principles will help in making this step quick and simple. The knowledge and experience of scrub technicians and nurses experienced in endoscopic techniques can be invaluable to the surgeon just beginning to use endoscopic techniques in plastic and reconstructive surgery.
使用内镜技术需要对内镜器械和手术室设置有基本的了解，以避免手术延误和外科医生感到沮丧。用于内镜手术的电子系统——摄像头、光源、监视器等——在其他专科已经得到了很好的发展，并且完全适用于内镜整形手术。然而，用于皮下整形手术的手持器械尚处于改进的早期阶段，无疑在未来几年会有所改善。现有器械的改进和新手术工具的开发仍在继续，有望使未来的内镜整形手术更加符合人体工程学且高效。同样，虽然内镜整形手术的手术室设置因具体情况而异，但应用一些基本原则将有助于使这一步骤快速且简单。在内镜技术方面经验丰富的刷手技师和护士的知识与经验，对于刚开始在整形和重建手术中使用内镜技术的外科医生来说可能是非常宝贵的。
