Memon M A, Fitzgibbons R J
Department of Surgery, Rush Presbyterian-St. Luke's Medical Center, Chicago, Illinois 60302, USA.
J Laparoendosc Adv Surg Tech A. 1998 Jun;8(3):143-50. doi: 10.1089/lap.1998.8.143.
Advanced laparoscopic abdominal surgery is now being performed routinely. However, it can be extremely challenging and time-consuming, and it may be associated with increased intraoperative and postoperative complications, mainly due to the loss of tactile sensation with totally laparoscopic techniques. This article describes a technique of hand-assisted laparoscopic surgery for complex abdominal procedures that allows the surgeon to insert a nondominant hand into the abdominal cavity while preserving the pneumoperitoneum. Use of the hand allows for rapid exploration, methodical dissection, identification of crucial structures, and expeditious performance of a procedure because of the maintenance of the tactile sensation. Our experience with this approach has been favorable.
目前，高级腹腔镜腹部手术已常规开展。然而，该手术极具挑战性且耗时较长，还可能增加术中和术后并发症，主要原因是全腹腔镜技术会导致触觉丧失。本文介绍了一种用于复杂腹部手术的手辅助腹腔镜手术技术，该技术可使外科医生在保持气腹的同时将非优势手插入腹腔。由于保留了触觉，使用手有助于快速探查、有条不紊地解剖、识别关键结构并迅速完成手术。我们采用这种方法的经验是良好的。
