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目的:研究半开放式法建立人工气腹在腹腔镜手术中的可行性和安全性。方法:2009年8月至2012年1月在165例腹腔镜手术中,肚脐下缘处横行切开10mm皮肤切口,钝性分离皮下脂肪,显露白线,横行切开白线5mm,止血钳钝性分离白线至10mm,抓提两侧腹壁,10mmTrocar套管垂直白线切口进入腹膜腔,然后接气腹管建立气腹。结果:165例患者均用半开放式方法成功建立人工气腹,用时3-7分钟,平均为5分钟。术中术后无腹膜后血肿、皮下血肿、肠系膜血管损伤、大网膜血管损伤、肠管损伤、膀胱损伤等并发症。结论:腹腔镜手术应用半开放式方法建立人气腹安全可靠、快捷可行,可有效避免穿刺并发症。
Objective: To study the feasibility and safety of semi-open method in establishing laparoscopic artificial pneumoperitoneum. METHODS: From August 2009 to January 2012 in 165 laparoscopic operations, a 10 mm skin incision was transversely cut at the lower edge of the navel and the subcutaneous fat was blunt dissected to reveal the white line. The transverse line was cut with a white line of 5 mm and the hemostatic forceps was blunt Sexual separation of the white line to 10mm, grasping both sides of the abdominal wall, 10mmTrocar cannula vertical white line incision into the peritoneal cavity, and then the establishment of pneumoperitoneum pneumoperitoneum. RESULTS: All 165 patients successfully established artificial pneumoperitoneum with a semi-open method for 3-7 minutes with an average of 5 minutes. Postoperative intraoperative retroperitoneal hematoma, subcutaneous hematoma, mesenteric vascular injury, omental vascular injury, bowel injury, bladder injury and other complications. Conclusion: Laparoscopic surgery using semi-open method to establish popular safe, reliable and feasible, can effectively avoid the puncture complications.