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近年来,对经典式腹腔镜手术时,在穿刺针盲刺腹壁作人工气腹及尖锐套管盲穿腹壁作腹腔镜通道时应避免危险发生问题日益引起关注。对各种脏器如胃、小肠、结肠、膀胱、大血管、小血管及异常肾脏的穿透性损伤,已有报导,Penfield在三年时间内收集了100多例由于穿刺针及套管盲刺入所致主动脉或髂动脉损伤的报告。Mintz调查了法国100,000例腹腔镜手术,提出大的内部血管撕裂的发生率为3/10,000,主要由穿刺针及尖锐套管引起。 1971年,Hasson介绍了开放式腹腔镜技术,以除外由于穿刺针及套管的盲穿引起的危险。如果其他方面均相同,而在消除了旧的危险后并未引起新的严重损伤的危险,则开放式腹腔镜技术将是较
In recent years, the classic laparoscopic surgery, blind puncture in the abdominal wall of the puncture needle for artificial pneumoperitoneum and sharp cannula laparoscopic abdominal blind passage should be avoided when the risk of causing increasing concern. Penetration of various organs such as the stomach, small intestine, colon, bladder, large blood vessels, small blood vessels, and abnormal kidneys has been reported. Penfield has collected more than 100 cases of puncture needle and cannula blindness over a three-year period Pricking into the aorta or iliac artery injury reports. Mintz investigated 100,000 laparoscopic surgeries in France and proposed a large internal vascular tear of 3 / 10,000, mainly caused by puncture needles and sharp cannulas. In 1971, Hasson introduced open laparoscopy to exclude the risk of blind puncture through the needle and cannula. If, in all other respects, it is the same and without the danger of causing new serious injuries after the old ones have been eliminated, open laparoscopy will be more