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Laparoskopische Operationen ohne Pneumoperitoneum

  • V. Paolucci
  • B. Schaeff
  • C. Gutt
  • A. Encke
Conference paper
Part of the Deutsche Gesellschaft für Chirurgie book series (DTGESCHIR, volume 1994)

Schlüsselwörter

Pneumoperitoneum Gaslose Laparoskopie Laparoskopische Chirurgie 

Laparoscopic Operations Without Pneumoperitoneum

Summary

We describe our experience with laparoscopic surgery without pneumoperitoneum using the Laparolift system (Origin Medsystem Inc., CA, USA). Under digital control a fan-shaped wall retractor, which is attached to an electric lever, is introduced into the abdominal cavity. After raising the abdominal wall, the scope is introduced through the same access and the laparoscopic procedure can be started without the technical and physiopathological problems which may occur using a pneumoperitoneum. In this gasless laparoscopic procedure, simple valveless trocars and instruments can be used. We performed gasless laparoscopic surgery in 50 patients for cholecystectomy (n = 36), abdominal exploration (n = 8), fenestration of liver cysts (n = 5), and appendectomy (n = 1). We observed two wound infections as related complications. In six cases we had to change the surgical procedure. Compared to the traditional procedure with a CO2 pneumoperitoneum, the results of the first gasless procedures demonstrate possible advantages.

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Literatur

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Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • V. Paolucci
    • 1
  • B. Schaeff
    • 1
  • C. Gutt
    • 1
  • A. Encke
    • 1
  1. 1.Klinik für Allgemeinchirurgie, Zentrum für ChirurgieKlinikum der Johann Wolfgang Goethe UniversitätFrankfurt am MainDeutschland

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