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頁籤選單縮合
題 名 | Natural Orifice Transluminal Endoscopic Surgery-Transgastric and Transvaginal Biliary Endosurgery in a Porcine Model=自然孔口經內視鏡手術--以豬為模型之內視鏡穿胃及穿陰道膽道手術 |
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作 者 | 吳鴻昇; 林建華; 洪敏章; 周德敖; 李岳聰; 詹德全; 陳建華; 許志宏; 吳孟航; 黃明和; | 書刊名 | 臺灣外科醫學會雜誌 |
卷 期 | 42:1 2009.01-02[民98.01-02] |
頁 次 | 頁13-19 |
分類號 | 416.37 |
關鍵詞 | 內視鏡手術; N.O.T.E.S.; Natural orifice transluminal endoscopic surgery; Cholecystectomy; Flexible endoscope; Transvaginal; |
語 文 | 英文(English) |
中文摘要 | 經自然孔口內視鏡手術是指不透過皮膚切口而進行腹腔內手術的新觀念。這個持續性的發展將改變內視鏡使用的潛力以及外科醫師施行手術的方法。本篇探討使用彎曲式內視鏡採穿胃及穿陰道膽囊摘除術的動物模式。本次實驗共採用五隻豬,三隻穿胃、另二隻穿陰道均成功地完成膽囊摘除術,進入腹腔及過程中除了在剝離膽囊有些微膽囊穿孔,沒有發生併發症。穿胃較穿陰道費時,平均手術時問爲166分鐘及80分鐘。穿胃及穿陰道膽囊摘除術在技術上都可行且可能安全,本篇發現穿陰道膽囊摘除術的方式似乎較其他方法更可行,希望這種方法不久將可能運用在人身上。 |
英文摘要 | Objectives: To determine the technical feasibility and safety of using a flexible endoscope to perform peroral transgastric and transvaginal cholecystectomy in a porcine model. Methods: Transgastric and transvaginal cholecystectomy was performed in 3 male and 2 female pigs respectively, in nonsurvival studies. Access to the peritoneal cavity was performed through a double-channel flexible videogastroscope. The peritoneal cavity was insufflated with air through a Veress needle which also served to monitor the pneumoperitoneum. The gallbladder was easily visualized by both routes. Using an endoscopic grasper and a unipolar round-tipped electrode, the gallbladder was dissected from the liver bed, once the cystic duct and artery were both clipped and divided. Results: Transgastric and transvaginal flexible endoscopic cholecystectomy was performed successfully in five pigs. There were no complications during gastric wall incision and entrance into the peritoneal cavity. Visualization of the visceral organs including gallbladder was very clear. Identification of the cystic duct, both proximal and distal clipping, and then transection and detachment of the gallbladder from the liver bed were achieved using standard endoscopic devices and accessories. The flexible endoscope after transgastric access the peritoneal cavity needed retroflexion to approach the gallbladder, while transvaginal route was more direct, allowing an easy in-line view and access to the gallbladder. The average operating time was 166 min in transgastric and 80 min in transvaginal routes of access. Conclusions: Our study revealed technical feasibility and possible safety of possible transgastric and transvaginal cholecystectomy, and we found that the transvaginal method is more feasible than others. We hope that this can be used in humans in the near future. |
本系統中英文摘要資訊取自各篇刊載內容。