中国临床新医学
中國臨床新醫學
중국림상신의학
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
2014年
5期
387-390
,共4页
吴东波%邵新华%冯泽荣%刘杨桦%何纯钢%刘超%覃素娇%陈湘%包延丽%杨胜富
吳東波%邵新華%馮澤榮%劉楊樺%何純鋼%劉超%覃素嬌%陳湘%包延麗%楊勝富
오동파%소신화%풍택영%류양화%하순강%류초%담소교%진상%포연려%양성부
腹腔镜胆囊手术%免气腹技术%动物实验
腹腔鏡膽囊手術%免氣腹技術%動物實驗
복강경담낭수술%면기복기술%동물실험
Laparoscopic cholecystectomy%Gasless technique%Animal experiments
目的：探讨伞式腹壁悬吊装置在动物实验中行免气腹腹腔镜胆囊切除术的应用效果。方法将27头实验猪随机分为两组，分别应用伞式免气腹技术（伞式组，n＝15）和气腹技术（气腹组，n＝12）进行腹腔镜胆囊切除术，比较两组建立手术空间时间、胆囊切除时间、术中出血量及术中意外情况。结果两组手术均顺利完成，伞式组建立手术空间时间、胆囊切除时间、术中出血量与气腹组比较差异无统计学意义（P均＞0.05）。伞式组有2例出现大网膜钩挂于伞叶上。两组均无中转开腹手术，无术中大出血、器官损伤等严重并发症。两组在术中意外情况的比较差异无统计学意义（ P＝0.487）。结论应用伞式腹壁悬吊装置在动物实验中行腹腔镜胆囊切除术是安全可行的。
目的：探討傘式腹壁懸弔裝置在動物實驗中行免氣腹腹腔鏡膽囊切除術的應用效果。方法將27頭實驗豬隨機分為兩組，分彆應用傘式免氣腹技術（傘式組，n＝15）和氣腹技術（氣腹組，n＝12）進行腹腔鏡膽囊切除術，比較兩組建立手術空間時間、膽囊切除時間、術中齣血量及術中意外情況。結果兩組手術均順利完成，傘式組建立手術空間時間、膽囊切除時間、術中齣血量與氣腹組比較差異無統計學意義（P均＞0.05）。傘式組有2例齣現大網膜鉤掛于傘葉上。兩組均無中轉開腹手術，無術中大齣血、器官損傷等嚴重併髮癥。兩組在術中意外情況的比較差異無統計學意義（ P＝0.487）。結論應用傘式腹壁懸弔裝置在動物實驗中行腹腔鏡膽囊切除術是安全可行的。
목적：탐토산식복벽현조장치재동물실험중행면기복복강경담낭절제술적응용효과。방법장27두실험저수궤분위량조，분별응용산식면기복기술（산식조，n＝15）화기복기술（기복조，n＝12）진행복강경담낭절제술，비교량조건립수술공간시간、담낭절제시간、술중출혈량급술중의외정황。결과량조수술균순리완성，산식조건립수술공간시간、담낭절제시간、술중출혈량여기복조비교차이무통계학의의（P균＞0.05）。산식조유2례출현대망막구괘우산협상。량조균무중전개복수술，무술중대출혈、기관손상등엄중병발증。량조재술중의외정황적비교차이무통계학의의（ P＝0.487）。결론응용산식복벽현조장치재동물실험중행복강경담낭절제술시안전가행적。
Objective To evaluate the application effect of gasless laparoscopic cholecystectomy using um-brella-like abdominal wall-lifting device in animal experiments .Methods Twenty-seven pigs who received laparosop-ic cholecystectomy were randomly divided into two groups .One group was treated with gasless technique using um-brella-like abdominal wall-ifting device (umbrella group,n=15 ).Another group underwent pneumoperitoneum (gas group,n=12).The parameters were compared , including time of establishing operation space , time of gallbladder removal, bleeding volume and the unexpected occurrences during the operation between two groups .Results All the surgeries were completed successfully without conversion to open procedure in two groups .The time of establishing operation space was no difference between two groups ( P>0.05 ) .The greater omentum got stuck on the spokes dur-ing the process of opening the umbrella in two cases of umbrella group , there were no complications of massive hemor-rhage and internal organ injury during the operations .There was no significant difference in unexpected occurrences between two groups ( P=0.487 ) .Conclusion These exeperiment outcomes indicate that the umbrella-like abdominal wall-lifting device is feasible and safe in gasless laparoscopic cholecystectomy in animal experiments .
