腹腔镜手术半开放置鞘气腹法安全建立气腹5 598例分析
气腹；腹腔镜术,,气腹；腹腔镜术,腹腔镜手术半开放置鞘气腹法安全建立气腹5598例分析,【关键词】气腹；腹腔镜术,1资料与方法,2结果,3讨论,参考文献：
【摘要】 目的：探讨腹腔镜手术半开放置鞘气腹法建立气腹的可行性及操作方法。方法：回顾分析5 600例腹腔镜术中半开放置鞘气腹法5 598例成功的经验及2例失败的教训。结果：5 600例中5 598例成功建立气腹，1例胃大部切除术后胆囊结石反复穿刺导致空肠穿孔，腹腔镜下行空肠修补术和腹腔镜胆囊切除术；1例剖宫产术后因腹腔内广泛粘连，气体膨胀困难而中转开腹。本组半开放置鞘气腹法成功率为99.96%。结论：半开放置鞘气腹法融合闭合法及开放法的优点，安全可行，操作简便。【关键词】 气腹；腹腔镜术
The analysis of semiopen establishment of pneumoperitoneum succeeding in 5 598 laparoscopic operations
YIN Yaoxin,PENG Yi,XIONG Pei,et al.
Laparoscopic Hepatobiliary Surgery Center,Peking University Shenzhen Hospital,Shenzhen 518036,China
【Abstract】 Objective:To investigate the feasibility and procedures of semiopen establishment of pneumoperitoneum(SOEPP) for laparoscopic surgery.Methods:5 600 patients received SOEPP and 5 598 cases succeeded.The clinical data was retrospectively reviewed.Results:Out of 5 600 patients,pneumoperitoneum was established successfully in 5 598 cases by SOEPP.The achievement ratio of SOEPP was 99.96%(5 598/5 600).Conclusions:SOEPP is a safe and feasible method in laparoscopy.
【Key words】 Pneumoperitoneum；Laparoscopy
腹腔镜手术的基础是气腹的安全建立和套管的安全置入 ......
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