Gersin K S, Heniford B T, Arca M J, Ponsky J L
Minimally Invasive Surgery Center, Department of General Surgery, Cleveland Clinic Foundation, Ohio 44195, USA.
J Laparoendosc Adv Surg Tech A. 1998 Jun;8(3):125-30. doi: 10.1089/lap.1998.8.125.
Laparoscopic procedures are increasingly performed in patients who have undergone prior abdominal surgery. Safe entry into the peritoneum includes avoidance of underlying viscera often tethered to the abdominal wall from surgical adhesions. Our group describes an alternative site technique utilizing the open Hasson procedure in a previously unoperated field, thus avoiding potential underlying adhesions. During the past 24 months this technique has been performed successfully in 95 patients, and no open conversions due to visceral or vascular injuries were necessary. Previous abdominal surgery should not be an absolute contraindication to minimally invasive procedures.
腹腔镜手术越来越多地应用于曾接受过腹部手术的患者。安全进入腹膜包括避免因手术粘连而常与腹壁相连的潜在内脏。我们的团队描述了一种替代部位技术，即在先前未手术的区域采用开放式哈森手术，从而避免潜在的粘连。在过去24个月中，该技术已在95例患者中成功实施，无需因内脏或血管损伤而中转开腹。既往腹部手术不应成为微创手术的绝对禁忌证。
