ID | 51071 |
JaLCDOI | |
フルテキストURL | |
著者 |
Idani, Hitoshi
Department of Surgery, Fukuyama City Hospital
Nakano, Kanyu
Department of Surgery, Fukuyama City Hospital
Asami, Shinya
Department of Surgery, Fukuyama City Hospital
Kubota, Tetsushi
Department of Surgery, Fukuyama City Hospital
Komoto, Satoshi
Department of Surgery, Fukuyama City Hospital
Kurose, Yohei
Department of Surgery, Fukuyama City Hospital
Kubo, Shinichiro
Department of Surgery, Fukuyama City Hospital
Nojima, Hiroki
Department of Surgery, Fukuyama City Hospital
Hioki, Katsuyoshi
Department of Surgery, Fukuyama City Hospital
Kin, Hitoshi
Department of Surgery, Fukuyama City Hospital
Takakura, Norihisa
Department of Surgery, Fukuyama City Hospital
|
抄録 | We describe a new simple and easy technique called the "Hook and roll technique" (HRT) that uses an articulating hook cautery to provide a critical view during single incision laparoscopic cholecystectomy (SILC). A 2-cm incision is made at the umbilicus to insert three 5-mm trocars or a multichannel port. After dissection of the serosa of the dorsal and ventral sides of the gall bladder, including Calot's triangle, the angled tip of the hook cautery is inserted between the cystic artery and duct with its tip placed dorsally. The tip is then rotated in a clockwise manner to avoid bile duct injury, allowing the connective tissue between them to be hooked, coagulated and cut. This procedure is repeated several times, followed by dissection between the cystic artery and the liver bed to achieve a critical view. From December 2008 to May 2011, 121 patients underwent SILC using HRT in our hospital without any serious complications. This technique is suitable for SILC, as it is consists of simple procedures that can be performed safely and easily, even by left hand in a cross-over approach, and it allows complete dissection of Calot's triangle to achieve a critical view without using any dissector under dangerous in-line viewing.
|
キーワード | critical view of safety
single incision laparoscopic cholecystectomy
articulating hook cautery
|
Amo Type | Original Article
|
出版物タイトル |
Acta Medica Okayama
|
発行日 | 2013-08
|
巻 | 67巻
|
号 | 4号
|
出版者 | Okayama University Medical School
|
開始ページ | 259
|
終了ページ | 263
|
ISSN | 0386-300X
|
NCID | AA00508441
|
資料タイプ |
学術雑誌論文
|
言語 |
英語
|
著作権者 | CopyrightⒸ 2013 by Okayama University Medical School
|
論文のバージョン | publisher
|
査読 |
有り
|
PubMed ID | |
Web of Science KeyUT |