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首页> 外文期刊>Surgical Endoscopy >Grasping and dissecting instrument for hand-assisted laparoscopic surgery: development and early clinical experience.
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Grasping and dissecting instrument for hand-assisted laparoscopic surgery: development and early clinical experience.

机译：手动腹腔镜手术的抓取解剖工具：发展和早期临床经验。

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BACKGROUND: The operative potential of hand-assisted laparoscopic surgery (HALS) could be enhanced by the introduction of a new generation of assisting instruments. These tools will have to meet specific requirements of shape, function, and safety of use. METHODS: Problems related to the working environment of HALS and deriving projectual restrictions of HALS instruments were analyzed in order to develop and manufacture a working prototype with grasping and dissecting properties to assist during HALS procedures. The resulting instrument was mechanically and clinically tested in 22 HALS procedures. RESULTS: The additional benefit of the new device was particularly appreciated during dissection and isolation of vascular pedicles (nephrectomies and splenectomies). It was shown to be safe and effective in providing the additional assistance it was designed for. CONCLUSION: The described grasping and dissecting instrument for HALS is of great value in assisting the surgeon during fine dissection, as required in selected procedures. New generation of HALS instruments should comply with the functional and safety issues analyzed in this report.
机译：背景：手动辅助腹腔镜手术（HALS）的手术潜力可以通过引入新一代辅助器械来增强。这些工具必须满足形状，功能和使用安全性的特定要求。方法：分析与HALS工作环境有关的问题以及HALS仪器的项目限制，以开发和制造具有抓握和解剖特性的工作原型，以在HALS程序中提供帮助。在22个HALS程序中对所得仪器进行了机械和临床测试。结果：在解剖和分离血管蒂（肾切除术和脾切除术）的过程中，特别赞赏了这种新设备的额外好处。它被证明是安全有效的，它可以为其提供额外的帮助。结论：所描述的HALS抓取和解剖工具，在按选定的程序要求在精细解剖期间协助外科医生方面具有重要价值。新一代的HALS仪器应符合本报告中分析的功能和安全问题。

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