免气腹腹腔镜手术在妊娠期卵巢囊肿中的应用

摘要

Gasless-laparoscopy is a kind of minimally invasive surgery, which is making use of gasless device to mechanically lift or arch anterior abdominal wall. So as to provide space for us to finish the laparoscopic surgery. It has the advantages of the traditional laparoscopy such as minimal trauma,less bleeding and rapid postoperative recovery. In addi-tion,gasless-laparoscopy can avoid carbon dioxide pneumoperitoneum and penetrating injury,which is bad for pregnancy. Because of the less influences on respiratory and circulatory system,the gasless laparoscopy broadens the scope of applica-tion in the cardiopulmonary insufficiency. In a word,with the continuous development of minimally invasive surgery,the gas-less laparoscopy has become a new exploration direction of the surgery.%免气腹腹腔镜手术是利用非气腹装置，机械性的提拉或拱起前腹壁，为手术创造操作空间，从而进行腹腔镜手术操作的一种微创技术，其兼有传统腹腔镜手术创伤小、出血少、术后恢复快等优点。此外，免气腹可避免二氧化碳气腹及穿刺伤对妊娠的不良影响，因其对呼吸、循环影响小，故一定程度上拓宽了腹腔镜手术在心肺功能受损者中的应用。总之，在微创手术不断发展的时代，免气腹成为腹腔镜手术探索的新方向之一。