经脐单孔腹腔镜肝脏手术于晓鹏.pptVIP

LOGO LOGO 经脐单孔腹腔镜肝脏手术 Transumbilical Single-inscion Laparoscopic Hepatoectomy NOTES 对NOTES技术的探索与研究始于1998年,当时 美国5所大学的有关专家组成了一个名为阿波罗 的小组进行NOTES研究。正式提出了NOTES这 一概念。迄今为止,NOTES有经胃、直肠、阴道、 膀胱和脐等多条途径。脐是身体上惟一与生俱来 的瘢痕。因脐部皮肤皱褶可以遮盖切口,从而达到 无瘢痕手术的目的。 The NOTES technology exploration and research began in 1998, at that time The United States 5 University of experts composed a Appollo.The NOTES study group. The group was first carried out by the Gastric approach for endoscopic operation, and formally put forward the concept of NOTES.So far, NOTES has the stomach, rectum, vagina, bladder and umbilical And many other ways, different parts of the operation through the hollow viscera punctureSites vary. The umbilicus is body only born with Scar. With umbilical folds of skin incision can cover, so as to achieve The purpose of operation without scar. 经脐单孔腹腔镜肝切除术 自1991年Reich等实施了世界首例腹腔镜肝切除术以来，随着腹腔镜技术的不断成熟，腹腔镜技术在肝脏疾病中的应用已逐步得到认可和推广。 该器官的单孔腹腔镜手术较为复杂，手术难度大并且其受制于手术难度及手术器械的发展国内外鲜有报道。单切口腹腔镜肝脏手术我科已于2010年开展共10例，国内301医院刘荣有12例报道，国外日本，法国各有1例零星报道。 Since 1991, Reich performed the worlds first laparoscopic hepatectomy, laparoscopic technology continues to mature, the laparoscopic technique in liver diseases has been gradually recognized and promotion. The organs of the single port laparoscopic operation is complex, operation difficulty is great and its subject to the operation difficulty and operation device development at home and abroad has been rarely reported. 经脐单孔腹腔镜肝切除术 Our department completed nearly 1000 cases of single port laparoscopic operation. The liver is rich in bile duct and vascular parenchyma organ, liver tumors, stones in intrahepatic bile duct induced hepatic atrophy is hepatic resection operation indications, laparoscopic liver operation as operation equipment development has obtained the considerable development, intraoperative closed cutting device applications, wound hemostasis tool applications always considered endoscopic operation area of liver operation beco