Gutt C, Voepel H, Held S, Paolucci V, Encke A
Klinik für Allgemeinchirurgie, Johann Wolfgang Goethe-Universität Frankfurt/Main.
Zentralbl Chir. 1996;121(7):578-83.
Specially designed instruments for laparoscopic surgery with a pneumoperitoneum are expensive and delicate, and surgeons are initially not familiar with their handling. Beside restrictions of the surgeon's intraabdominal range of motion they lead to a loss of tactile sensation. In gasless laparoscopic procedures not only special laparoscopic instruments, but the standard conventional instruments, used in open surgery, can also be employed with simple valveless trocars. Still using these instruments can put up some difficulties, because ergonomic factors were not considered in their development. With regard to the instrument's length, shape and joint-position we developed a special instrument-set under the ergonomic criteria of gasless laparoscopy.
用于气腹腹腔镜手术的特殊设计器械昂贵且精密，外科医生起初并不熟悉其操作。除了限制外科医生的腹腔内活动范围外，这些器械还会导致触觉丧失。在无气腹腔镜手术中，不仅特殊的腹腔镜器械，而且开放手术中使用的标准传统器械，也可与简单的无阀套管针一起使用。然而，使用这些器械可能会出现一些困难，因为在其研发过程中未考虑人体工程学因素。关于器械的长度、形状和关节位置，我们根据无气腹腔镜手术的人体工程学标准开发了一套特殊的器械。
