腹腔鏡下胆嚢摘出術および総胆管結石症手術に対するlaparoliftを用いた腹壁吊り上げ法の有用性

書誌事項

タイトル別名
  • Usefulness of abdominal wall lifting by laparolift in laparoscopic cholecystectomy and choledocholithiasis surgery

この論文をさがす

抄録

We introduced abdominal wall lifting which use laparolift (Origin Company) for laparoscopic surgery in September,1996, and we use it as basic laparoscopic operation now. We performd 74cases of cholecystectomy and 13 cases of choledocholithiasis surgery,87 cases in total. On cases of weak abdominal muscle, it was difficult to get enough cavity under the diaphragm, because it was not lifted diaphragm fully. In these cases, we performed to exfoliate the fundus from the body of the gallbladder by lifting to right or left direction the neck of the gallbladder in 58 cases of 87 cases (66.7%), because of lifting perpendicularly the neck of the gallbladder was almost difficult. Bu t the sight of choledochus circumference from the neck of the gallbladder was good, and taking forceps in and out, washing and aspiration were very easy for nothing anxiety about gas leakage, and we performed smoothly to exfoliate the neck of gallbladder, cut the choledochus, take the stones and suture the choledochus. About 81 cases of 87 cases (93.1%), we could performed operations completely by abdominal wall lifting, but 6 cases (6.9%) changed over pneumoperitoneum or laparotomy. We thought that abdominal wall lifting by laparolift was difficult about 2 cases. The handling of abdominal wall lifting by laparolift was simple and easy, and it was very useful.

収録刊行物

  • Tando

    Tando 16 (1), 19-25, 2002

    Japan Biliary Association

被引用文献 (2)*注記

もっと見る

参考文献 (13)*注記

もっと見る

詳細情報

問題の指摘

ページトップへ