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首页> 外文期刊>Surgical Endoscopy >Use of the surgical towel in colorectal hand-assisted laparoscopic surgery (HALS).
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Use of the surgical towel in colorectal hand-assisted laparoscopic surgery (HALS).

机译：在大肠手工腹腔镜手术（HALS）中使用手术巾。

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摘要

The use of laparotomy pads or towels to displace the small intestine away from the operative site is a well-established technique in open surgery; however, its application is unfeasible or extremely challenging in standard laparoscopic surgery. We describe the use of standard surgical towels in hand-assisted laparoscopic surgery (HALS). A Pfannenstiel incision is made and a Gelport hand-access device is assembled. A sterilized surgical towel, 65 x 44 cm in size, is inserted via the Gelport, unfolded, and placed over the bowel loops laparoscopically with the assistance of the hand. The bowel loops are then housed gently in the towel and displaced away from of the operative site. HALS enables the easy insertion and handling of a large surgical towel inside the peritoneal cavity. The towel successfully retracts the small intestine, enabling the surgeon to concentrate the use of his or her hand on the targeted structures. This practical and inexpensive tip adds another advantageous component to the practice of colorectal HALS.
机译：在开放手术中，使用剖腹手术垫或毛巾将小肠从手术部位移开是一种行之有效的技术。然而，在标准的腹腔镜手术中，其应用是不可行的或极具挑战性的。我们描述了在手动腹腔镜手术（HALS）中使用标准手术巾的方法。进行Pfannenstiel切口，并组装Gelport手动装置。通过Gelport插入尺寸为65 x 44 cm的无菌手术巾，将其展开并在腹腔镜下用手将其放在肠loop上。然后将肠loop轻轻地放在毛巾中，并从手术部位移开。 HALS可以轻松地在腹膜腔内插入和处理大型手术巾。毛巾成功地使小肠缩回，使外科医生可以将他或她的手集中在目标结构上。这种实用且廉价的针尖为结直肠HALS的实施增加了另一个有利的组成部分。

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