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Chinese Journal of Laparoscopic Surgery(Electronic Edition) ›› 2016, Vol. 09 ›› Issue (03): 183-186. doi: 10.3877/cma.j.issn.1674-6899.2016.03.015

Special Issue:

• Review • Previous Articles     Next Articles

Advances of operation field establishing methods for abdominal laparoscopic surgery

Kai Zhang 1, Anan Xu 1, Hai Hu 1 , ( )   

  1. 1. Department of Hepatopancreatobiliary Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, China
  • Received:2016-03-16 Online:2016-06-30 Published:2016-06-30
  • Contact: Hai Hu
  • About author:
    Corresponding author: Hu Hai, Email:

Abstract:

Nowdays CO2 pneumoperitoneum is the main way to establish operation field in abdominal laparoscopic surgery, but it may have side effects on patients of their cardiopulmonary function, hemodynamics and kidney function during the surgery, and may cause postoperative venous thrombosis, shoulder pain, gas embolism, etc, even the spread of tumor cells inside of abdomen. Changing the medium gas such as N2O, Helium, etc, can only reduce a few complications of above mentioned, and it does not apply to patients who cannot tolerate pneumoperitoneum surgery because of poor cardiopulmonary function. Therefore, methods that establish operation field by lifting abdominal wall emerge and avoid complications caused by gas filling which make the surgery for those patients who cannot tolerate pneumoperitoneum possible. However, the existing methods have defects of insufficient exposure of operation field. This paper reviewed and summarized the existing field establishing methods for abdominal laparoscopic surgery of domestic and international, proposed to classify the operation field establishing methods for abdominal laparoscopic surgery by 'filling method’ and 'lifting method’, and made expectation about the development and perfection of existing operation field establishing methods for abdominal laparoscopic surgery.

Key words: Pneumoperitoneum, Laparoscopes, Abdomen

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