腹腔镜穿刺孔缝合方法的改进

An ingenious method to suture laparoscopic puncture holes

目的 探讨腹腔镜穿刺孔的缝合改进方法.方法 对650例腹腔镜胆道手术患者分别采用弧形针或自制双孔钩针完成腹腔镜穿刺孔的缝合.结果 弧形针缝合穿刺孔200例,自制钩针缝合450例,均缝合顺利,术后愈合良好.仅l例发生剑突下穿刺孔皮下积液,引流后迅速好转,未发生穿刺孔出血、感染和穿刺孔疝.结论 采用弧形针和自制双孔钩针缝合腹腔镜穿刺孔操作简单且效果良好,明显减少了腹腔镜穿刺孔的并发症.

Objective To study the ingenious method to suture laparoscopic puncture holes.Methods A curved needle and a hook-like needle were used in 650 patients during biliary tract surgery.Results The curved needle was used in 200 patients and the hook-like needle was used in 450 patients.All patients had good wound healing except for one patient who developed puncture hole seroma under the xiphoid.The patient was treated with drainage and improved rapidly.No other complications such as puncture hole hemorrhage,infection and puncture hole hernia occurred.Conclusion Suturing using a curved needle and a hook-like needle was easy and effective,and avoided complications.