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[初始:最少侵入性的外科手术程序]

Johannes Baur¹, Michael Meir²

¹Hernienzentrum Clarunis, Universitäres Bauchzentrum Basel, Standort St. Claraspital, Basel, Schweiz.

Chirurgie (Heidelberg, Germany)

|December 9, 2023

概括

最少侵入性腹腔修复可减少并发症和缩短住院时间. 经验丰富的外科医生现在可以在复杂的病例中使用先进的内镜技术.

科学领域:

手术创新在外科创新.
最少侵入性的手术
腹壁的重建腹壁的重建

背景情况:

最近的进展为腹腔治疗引入了新的微创手术技术.
本综述详细介绍了包括扩展完全外皮层 (eTEP) 修复,迷你或较少开放的子层 (MILOS) 和腹腔镜内体直肠脊髓神经增生术 (LIRA) 在内的技术.

研究的目的:

介绍和讨论用于腹腔的新开发的微创手术技术的结果.
突出与这些先进程序相关的潜在好处和挑战.

主要方法:

对最近发表的关于最小侵入性腹腔修复技术的文献的审查.
讨论手术方法,如eTEP,MILOS,内镜辅助白直线重建 (ELAR),腹部横腹部前腹膜贴片 (TAPP),IPOM加,和LIRA.

主要成果:

与开放式修复相比,最小侵入性技术可以减少手术部位感染,术后疼痛和住院时间.
背肌网布置技术在技术上要求很高,需要精确的解剖学知识和先进的腹腔镜技能.
大型的治疗需要大量的外科医生经验和大量的病例.

结论:

经验丰富的腹腔镜外科医生可以有效地利用新的内镜和内镜辅助技术来治疗初级和二级腹腔.
这些微创手术方法代表了熟练外科医生对腹腔管理的重大进化.

关键词:

内镜辅助的白色直线重建.完全扩展的额外外皮技术.内膜内在层状网状内膜内在层状网状.迷你或不太开放的亚层技术.跨腹前腹膜前皮质贴片技术

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