腹腔镜

Objective To compare the feasibility, safety, reliability and postoperative outcomes of myomectomy performed by gasless laparoscopy and conventional laparoscopy.

目的 比较悬吊式无气腹腹腔镜与传统腹腔镜在子宫肌瘤切除术中的可行性、安全性以及术后恢复情况。

Gasless laparoscopyassisted partial nephrectomy embodies the advantages of both open surgery and laparoscopic surgery,and will become a good choice for partial nephrectomy.

无气腹腹腔镜肾部分切除术将传统开放手术与腹腔镜技术相结合，学习曲线短，可能成为一种比较理想的肾部分切除的手术方式。

Gasless laparoscopy assisted partial nephrectomy embodies the advantages of both open surgery and laparoscopic surgery,and will become a good choice for partial nephrectomy.

无气腹腹腔镜肾部分切除术将传统开放手术与腹腔镜技术相结合，学习曲线短，可能成为一种比较理想的肾部分切除的手术方式。

Results Compared with conventional laparoscopic myomectomy, gasless laparoscopy resulted in less intra-operative and postoperative blood loss, shorter operating time and less postoperative abdominal drainage volume.

结果 两组均能完成子宫肌瘤的切除，与传统腹腔镜手术相比，悬吊式腹腔镜组手术时间短，术中及术后出血量较少，差异有统计学意义。

Besides its supplementary value for the patients with cardiopulmonary diseases contraindicated to the pneumoperitoneum, it also possesses distinctive value to both gasless laparoscopic gastrointestinal surgery with an inherent incision or an incision for

它对因气腹禁忌而失去常规腹腔镜手术机会的患者具有重要的补充价值，对某些本需在腹壁造口或需扩大切口取标本的腹腔镜胃肠手术、以及手助肝、胆、胰手术具有独特的应用价值。

Results: Gasless hand-assisted laparoscopic surgery had no obvious difference with laparoscopic Cholecystectomy on subjective sensation, hemodynamic changes, breathing function, cardiac muscle enzymologic changes.

结果：非气腹腹腔镜手术在患者主观反应、血液动力学变化、呼吸功能、心肌酶学变化等方面，与气腹腹腔镜手术比较在胆囊切除术中有明显的优越性。

Abdominal Wall Lifting installation Play an important role on laparoscopic surgery with heart and lung disease and high dangerous patient, had uncompleted advantage with carbon dioxide pneumoperitoneum laparoscopic surgery. Because of the adoption with Gasless hand-assisted technique, we found that the resection effect was promoted great. No matter the resection bowel length or lymph node clearing had obvious dominance, and it had reached the same effect between those two operation groups.

非气腹手助腹腔镜结直肠癌手术，对比CO2气腹腹腔镜手术，由于采用了非气腹装置，避免了高压气腹的并发症，手助后增加探查的准确性，操作更方便，保证了肿瘤切除的彻底性，无论是手术切除长度还是淋巴结清扫范围都有较明显的优势，更接近传统的开腹手术，提高了手术的安全性。

Gasless laparoscopy was applied to reduce the incidence of complications due to pneumoperitoneum of conventional laparoscopy in a series of abdominal operation (n=53) including proctocolectomy, cholecystectomy, appendectomy, repair of perforated peptic ulcer, hepatic abscess drainage and closure of inguinal hernial ring.

为减少传统腹腔镜术气腹引起的并发症，采用非气腹腹腔镜术完成腹部手术53例，包括结直肠癌根治术、胆囊切除术、肝脓疡引流术、溃疡病穿孔修补术、阑尾切除术、腹股沟斜疝内环修补术。

Methods To apply laparoscopic surgery to 301 cases of gynecological diseases, such as sterility,uterus muscle tumour,uterus glandulous muscle tumour,ovary cyst,overy tomour, ectopic pregnancy,chronic pelvic cavity pain.

目的 探讨腹腔镜在妇科手术中的临床应用价值方法应用腹腔镜技术治疗妇科常见疾病：不孕、子宫肌瘤、子宫腺肌瘤、卵巢囊肿、卵巢肿瘤、异位妊娠、慢性盆腔痛等307例。

Careful choice should be made when considering laparoscopic hysterectomy for patients with multiple hypogastric zone operation history, questionable pelvic cavity adhesions and too big uterus.

有多次下腹部手术史可疑盆腔粘连及子宫过大者，选择腹腔镜子宫切除时应慎重；正确掌握中转开腹手术的时机及开腹手术后的处理方法，是降低腹腔镜子宫切除手术并发症的有效措施。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。