CAJ | 학술논문

目的：针对常规腹腔镜手术和经自然孔道腹腔镜手术(NOTES)存在的不足，自主研制一套单孔四通道腹腔镜手术辅助装置。方法：该装置采用医用硅橡胶制作，通过临床试用后检测其气密性、安全性、热稳定性及生物兼容性等方面的问题。结果：该装置经过2年临床试用，为65例患者顺利完成手术，术中未出现漏气及危急情况。结论：自制单孔腹腔镜装置具有较好的可操作性及实用性，且价格低廉，值得在临床推广应用。
목적：침대상규복강경수술화경자연공도복강경수술(NOTES)존재적불족，자주연제일투단공사통도복강경수술보조장치。방법：해장치채용의용규상효제작，통과림상시용후검측기기밀성、안전성、열은정성급생물겸용성등방면적문제。결과：해장치경과2년림상시용，위65례환자순리완성수술，술중미출현루기급위급정황。결론：자제단공복강경장치구유교호적가조작성급실용성，차개격저렴，치득재림상추엄응용。
Objective: According to problems of conventional laparoscopic operation and the natural channel laparoscopic operation, we independently developed a set of single hole with four channel laparoscopic operation auxiliary device. Methods: This unit is made of medical silicone rubber, through clinical trial testing such problems like tightness, safety, thermal stability, biological compatibility. Results: Sixty-five cases experienced surgery successfully without intra-operative conversion. Conclusion:The homemade single-site laparoscopic device is cheap with preferable maneuverability and availability. It should be applied popularly.