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首页> 外文期刊>Surgical Endoscopy >Laparoscopic colorectal surgery using low-pressure pneumoperitoneum combined with abdominal wall lift by placement of anchoring sutures around the camera port.
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Laparoscopic colorectal surgery using low-pressure pneumoperitoneum combined with abdominal wall lift by placement of anchoring sutures around the camera port.

机译：腹腔镜结直肠手术采用低压气腹与腹壁提升术相结合，方法是在摄像机端口周围放置锚固缝线。

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BACKGROUND: This study aimed to evaluate the feasibility of low-pressure pneumoperitoneum in laparoscopic colorectal surgery. METHODS: The authors designed low-pressure (8 mmHg) laparoscopy combined with abdominal wall lift simply by placement of anchoring sutures around the camera port. RESULTS: The operative indications were 176 colon cancers, 297 rectal cancers, and 45 benign diseases. The average blood loss was 92 ml (range, 20-1200 ml), and the mean operating time was 204 min (range, 23-525 min). Conversion to an open procedure was required in eight cases (1.5%). Two patients experienced intraoperative complications. The mean number of removed lymph nodes was 28.9 in the colon cancer cases and 23.1 in the rectal cancer cases. The mean length of resected specimen was 27.3 cm (range, 8.5-136 cm). Postoperatively, cardiopulmonary complications developed in five patients (0.9%). CONCLUSIONS: Abdominal wall lifting by anchoring sutures around the camera port in addition to low-pressure pneumoperitoneumis a simple, safe, and effective method for laparoscopic colorectal procedure.
机译：背景：本研究旨在评估低压气腹在腹腔镜大肠癌手术中的可行性。方法：作者设计了低压（8 mmHg）腹腔镜检查法并结合腹壁抬举，方法是简单地在摄像机端口周围放置锚固缝线。结果：手术适应证为176例结肠癌，297例直肠癌和45例良性疾病。平均失血量为92毫升（范围为20-1200毫升），平均手术时间为204分钟（范围为23-525分钟）。在八种情况下（1.5％）需要转换为开放程序。 2例患者术中出现并发症。在结肠癌病例中，切除的淋巴结的平均数为28.9，在直肠癌病例中为23.1。切除标本的平均长度为27.3厘米（范围为8.5-136厘米）。术后有5名患者（0.9％）发生心肺并发症。结论：除了低压气腹腹膜外，通过在摄像机端口周围锚定缝合线来抬高腹壁，是一种简单，安全且有效的腹腔镜结直肠手术方法。

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