A retractor for cholecystectomy.
نویسنده
چکیده
A self-retaining retractor has been designed to enable one surgeon to perform cholecystectomy and exploration of the bile duct with a minimum of assistance. The instrument consists of a horseshoe shaped collapsible frame and four specially designed blades. It is ideally suited for a right subcostal or a transverse incision. Adjustment and removal for performing on-table cholangiography and reapplication are all straightforward.
منابع مشابه
Four-channel single incision laparoscopic cholecystectomy using a snake retractor: comparison between 3- and 4-channel SILC 4-channel single incision cholecystectomy
PURPOSE Single incision laparoscopic cholecystectomy (SILC) is a widely used method of performing cholecystectomy. A common technique used in SILC is a 3-channel method. However, exposure of Calot's triangle is limited in conventional 3-channel SILC. Therefore, we herein report the adequacy and feasibility of 4-channel SILC using a snake retractor. METHODS Four hundred and fifteen SILC cases ...
متن کاملMarionette method for transumbilical single-incision, two-trocar laparoscopic cholecystectomy: a new, simple technique.
BACKGROUND/AIMS Single-incision laparoscopic cholecystectomy (SILC) has recently become a topic of interest among types of minimally invasive surgery. METHODOLOGY We developed a novel "marionette method"technique for performing SILC. Two 5 mm trocars were placed through a 1.5 cm transumbilical incision. In addition, a nylon suture with a laparoscopic sliding knot was used to tighten the fundu...
متن کاملRisk factors for prolonged operative time in single-incision laparoscopic cholecystectomy
PURPOSE We performed 3-channel single incision laparoscopic cholecystectomy (SILC) in earlier period of this study and modified our method to 4-channel SILC using a snake retractor for better operative field in later period. This study has been designed to evaluate the risk factors for prolonged operative time in SILC. METHODS From April 2010 to August 2014, 323 cases of 3-channel SILC (Konya...
متن کامل04_OA_13.02278 Mogi.indd
Regarding abdominal surgery, many reports of the usefulness of single-incision laparoscopic surgery (SILS) for appendectomy, cholecystectomy, and inguinal hernioplasty have been published.1) Furthermore, many papers on urology and gynecology citing examples of SILS have been published.2,3) In contrast, in the case of singleport (or incision) thoracoscopic surgery, the technological gap is obvio...
متن کاملLaparoscopic cholecystectomy using abdominal wall retraction. Hemodynamics and gas exchange, a comparison with conventional pneumoperitoneum.
BACKGROUND Disadvantages related to CO2 pneumoperitoneum have led to development of the abdominal wall retractor (AWR), a device designed to facilitate laparoscopic surgery without conventional pneumoperitoneum (15 mmHg CO2). We investigated the effects of the AWR on hemodynamics and gas exchange in humans. We also investigated whether the use of an AWR imposed extra technical difficulties for ...
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ورودعنوان ژورنال:
- Annals of the Royal College of Surgeons of England
دوره 72 6 شماره
صفحات -
تاریخ انتشار 1990