Causes and solutions of vision loss in laparoscopic surgery

doi:10.3877/cma.j.issn.1674-6899.2019.02.015

Abstract

Abstract:

Maintenance of optimal vision during minimally invasive surgery is crucial to maintaining operative awareness, efficiency and safety, especially with limited or absent tactile feedback.Hampered vision can be caused by many factors, and thus solutions to maintain pristine visual acuity varied. We performed a review of literature to present the current body of evidence supporting the use of numerous techniques.

Key words: Laparoscopic surgery, Contamination, Laparoscopic lens fogging

Xin Liu, Zhaozi Pang, Shan Kang. Causes and solutions of vision loss in laparoscopic surgery[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2019, 12(02): 122-125.

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References 21

1	孙大为. 中国大陆妇科单孔腹腔镜及NOTES手术的探索发展及现状[J/CD]. 中华腔镜外科杂志(电子版), 2018, 11(1)：1-3.
2	Manning TG, Perera M, Christidis D, et al. Visual occlusion during minimally invasive surgery: a contemporary review of methods to reduce laparoscopic and robotic lens fogging and other sources of optical loss[J]. Journal of Endourology, 2017，31(4)：327-333.
3	Schurr MO, Kunert W, Arezzo A, et al. The role and future of endoscopic imaging systems[J]. Endoscopy, 1999, 31(7)：557-562.
4	Gao X, Xin Y, Yao XI, et al. The dry-style antifogging properties of mosquito compound eyes and artificial analogues prepared by soft lithography[J]. Advanced Materials, 2010, 19(17)：2213-2217.
5	康山. 妇科肿瘤腹腔镜手术中单极电刀应用技巧及副损伤防治[J]．中国实用妇科与产科杂志，2016, 32(7)：613-616.
6	刘开江. 妇科肿瘤腹腔镜手术中超声刀应用技巧及副损伤防治[J]．中国实用妇科与产科杂志，2016, 32(7)：608-613.
7	潘静，林玉秀，张玉清. 手术烟雾职业暴露人群对手术烟雾基础知识的认知情况及培训效果分析[J]. 国际护理学杂志，2015，33(12)：1585-1588.
8	Manning TG, Papa N, Perera M, et al. Laparoscopic lens fogging: solving a common surgical problem in standard and robotic laparoscopes via a scientific model[J]. Surgical Endoscopy, 2017, 32(3)：1-7.
9	Nezhat C, Morozov V. A simple solution to lens fogging during robotic and laparoscopic surgery[J]. Jsls Journal of the Society of Laparoendoscopic Surgeons, 2008, 12(4)：431-431.
10	葛祎. 4种腹腔镜镜头防雾方法的效果比较[J]. 护理研究，2011, 25(12)：3149-3151.
11	刘瑶，李茜茜，刘晓晔. 腹腔镜镜头防雾效果的Meta分析[J]. 护理学杂志，2015, 30(12)：110-112.
12	Brown JA, Inocencio MD, Sundaram CP. Use of a warming bath to prevent lens fogging during laparoscopy[J]. Journal of Endourology, 2008, 22(11)：2413-2414.
13	Drysch A, Schmitt K, Uribe B, et al. Comparative analysis of techniques to prevent laparoscopic fogging[J]. Minimally Invasive Therapy, 2016, 25(6)：319-322.
14	Ohdaira T, Nagai H, Kayano S, et al. Antifogging effects of a socket-type device with the superhydrophilic, titanium dioxide-coated glass for the laparoscope[J]. Surgical Endoscopy, 2007, 21(2)：333-338.
15	Dean M, Ramsay R, Heriot A, et al. Warmed, humidified co2 insufflation benefits intraoperative core temperature during laparoscopic surgery: a Meta－analysis[J]. Asian Journal of Endoscopic Surgery, 2017, 10(2)：128-136.
16	Sajid MS, Mallick AS, Rimpel J, et al. Effect of heated and humidified carbon dioxide on patients after laparoscopic procedures: a meta-analysis[J]. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 2008, 18(6)：539-546.
17	Calhoun JT, Redan JA. Elimination of laparoscopic lens fogging using directional flow of CO ₂ [J]. Jsls, 2014, 18(1)：55-61.
18	戴庆鑫，陈剑伟. 腹腔镜手术中利用中心负压持续吸引排除烟雾的效果分析[J]. 护士进修杂志，2014，34(17)：1594-1596.
19	莫丽平，谭云燕，杨秀媛，等. 自制可控性吸引管在腹腔镜手术烟雾吸除中的应用[J]. 微创医学，2016, 11(2)：200-202.
20	Zeumer H, Ringelstein EB, Klose KC. Easy cleaning of the camera port during laparoscopic surgery: three practical techniques[J]. Journal of Laparoendoscopic & Advanced Surgical Techniques, 2011, 21(9)：821-822.
21	Gu L, Liu P, Jiang C, et al. Virtual digital defogging technology improves laparoscopic imaging quality[J]. Surgical Innovation, 2015, 22(2)：171-176.

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