Surgical laparoscopy, endoscopy & percutaneous techniques · 2015
Securing the surgical field in laparoscopic pancreatectomy using a Penrose drain and Endo Close.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sunose Yutaka, Hirai Keitaro, Nakazawa Seshiru, Yoshinari Daisuke, Ogawa Hiroomi, Tsukagoshi Hiroshi, Takahashi Norifumi, Yamazaki Hodaka, Motegi Yoko, Miyamae Yohei, Igarashi Takamichi, Takahashi Kengo, Katoh Ryuji, Tanaka Kazumi, Takeyoshi Izumi
Аннотация
INTRODUCTION: We adopted the use of Penrose drains and Endo Close to secure a good surgical field during laparoscopic pancreatectomy.
METHODS: We used a Penrose drain with threads ligated on both ends to suspend the stomach. We then pulled the threads out of the body from the side of the trocar or from besides the xiphisternum by using Endo Close. In most cases, 2 Penrose drains were used to retract the stomach. When the greater omentum on the left side of the cardia still blocks the surgical field, we sewed the posterior wall of the stomach onto the dome of the diaphragm.
RESULTS: The use of 2 Penrose drains and Endo Close were effective to retract the stomach in most cases. However, in 3 cases, we needed to additionally sew the stomach onto the diaphragm to fully open up the field.
CONCLUSION: This is a simple and effective method to ensure a good surgical field.
METHODS: We used a Penrose drain with threads ligated on both ends to suspend the stomach. We then pulled the threads out of the body from the side of the trocar or from besides the xiphisternum by using Endo Close. In most cases, 2 Penrose drains were used to retract the stomach. When the greater omentum on the left side of the cardia still blocks the surgical field, we sewed the posterior wall of the stomach onto the dome of the diaphragm.
RESULTS: The use of 2 Penrose drains and Endo Close were effective to retract the stomach in most cases. However, in 3 cases, we needed to additionally sew the stomach onto the diaphragm to fully open up the field.
CONCLUSION: This is a simple and effective method to ensure a good surgical field.