Olvera D, Gómez J R
Department of Surgery, Hospital de México, Mexico, D.F.
Surg Laparosc Endosc. 1997 Aug;7(4):332-4.
The purpose of this study was to determine the advantages and disadvantages of several techniques for performing the pneumoperitoneum. We studied 75 patients divided into three groups of 25 each. In the first group, we used the Veress needle technique in the umbilicus. In the second group, the insertion was in the upper left quadrant, and in the third group the insertion was direct with a disposable trocar in the umbilicus without pneumoperitoneum. In the first group, we made 32 attempts, and the time varied from 8 to 35 min. In the second group we made 28 attempts and the time was from 3 to 6 min. In both we had complications. In the third group, we made 25 direct insertions without complications, and the time was from 45 s to 3 min.
本研究的目的是确定几种建立气腹技术的优缺点。我们研究了75例患者,分为三组,每组25例。第一组,我们在脐部使用韦尔斯针技术。第二组,穿刺点在左上腹,第三组则是直接在脐部使用一次性套管针且不建立气腹。第一组,我们进行了32次尝试,时间从8分钟到35分钟不等。第二组我们进行了28次尝试,时间为3分钟到6分钟。两组均出现了并发症。第三组,我们进行了25次直接穿刺,没有并发症,时间从45秒到3分钟不等。