ABDOMINAL-WALL LIFT - LOW-PRESSURE PNEUMOPERITONEUM LAPAROSCOPIC SURGERY

被引:56
作者
BANTING, S [1 ]
SHIMI, S [1 ]
VANDERVELPEN, G [1 ]
CUSCHIERI, A [1 ]
机构
[1] UNIV DUNDEE,NINEWELLS HOSP & MED SCH,DEPT SURG,DUNDEE DD1 9SY,SCOTLAND
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1993年 / 7卷 / 01期
关键词
ABDOMINAL WALL; FALCIFORM LIFE; LOW-PRESSURE; PNEUMOPERITONEUM LAPAROSCOPIC SURGERY;
D O I
10.1007/BF00591240
中图分类号
R61 [外科手术学];
学科分类号
摘要
A method of abdominal wall lift has been developed and evaluated clinically in this unit during the past 18 months. It permits the conduct of laparoscopic procedures at an intraabdominal pressure of 6-8 mm Hg. The technique was introduced for laparoscopic surgery in patients with preexisting cardiac disease and chronic bronchitis. The procedure, by lifting both the abdominal wall and the falciform ligament together. also elevates the central portion of the liver (segments 3-5), thereby improving the surgical exposure. For this reason it is now also used in fit patients with ptotic livers or hypertrophied quadrate lobes undergoing laparoscopic cholecystectomy and common bile duct exploration, and to facilitate left Subhepatic exposure in patients during laparoscopic antireflux Surgery and vagotomy.
引用
收藏
页码:57 / 59
页数:3
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