随着医学科学的发展,腹腔镜手术因具有手术伤口较小,恢复更快,疼痛更少和肠功能恢复较早等优点已在临床中广泛开展,在妇科肿瘤治疗领域中发挥着越来越重要的作用.腹腔镜手术是一种能量器械依赖性手术,随着各种能量器械的研发和投入使用,腹腔镜手术器械的功能越来越强大,视野越来越清晰,切割止血越来越得心应手,降低了手术难度,从而使腹腔镜手术操作日益变得步骤简化,手术范围增大,精细度提高,充分体现了微创的特点,这些进步在给手术医生提供了更多机会的同时,也使医生面临着更为艰巨的挑战.各种能量器械导致的副损伤一直是妇科手术医生关注的重要问题.本文就腹腔镜常见能量器械引起的副损伤及其防治进行了详细阐述,旨在帮助临床医生进一步了解手术中的器械,做到更精准的使用,减少副损伤.%With the development of medical science, the laparoscopic surgery has been widely used in clinical treatment. Its advantages mainly lie in relatively small operation scars, faster wound recovery, less pain, and earlier recovery of bowel functions, etc. Because of these advantages, laparoscopic surgery is playing an increasingly significant role in gynecological tumor treatment. Meanwhile, laparoscopic surgery is energy equipment-dependent. The research and application of more energy devices have made the laparoscopic surgery more powerful, the scope larger, and hemostasis more convenient, thereby lower down the surgical difficulty. These devices fully display the features of minimally invasive surgery. With these devices, the laparoscopic surgeries are simplified, the surgical scopes are extended, and the surgical precisions are improved. While such medical advancement brings more opportunities to doctors, at the same time it bings more challenges. Especially, the side injuries caused by the energy devices has always been paid great attention. This article systemically explains the side injuries and relevant prophylactic-therapeutic measures, and aims at helping more doctors to gain a deeper understanding on the surgical devices, to operate these devices more accurately, and to further reduce side injuries.
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