腹腔镜术中遗失缝针的寻找方法及预防策略
摘要
<正>随着腹腔镜手术技术的日臻成熟和复杂,镜下缝合机会增加。Greenberg等[1]基于自报材料的研究结果显示,手术残留异物的发生率为1/9000～1/19 000;由于多数医生和医院出于保险理赔或法律纠纷考虑拒绝公开此类失误,其实际发生率可能更高。腹腔镜术中缝针遗失是一个非常棘手的问题,会显著增加术者与患者家属的焦虑。其短期并发症包括麻醉时间延长
引文
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[10]Barto W,Yazbek C,Bell S.Finding a lost needle in laparoscopic surgery[J].Surg Laparosc Endosc Percutan Tech,2011,21:e163-e165.
[11]Ponrartana S,Coakley FV,Yeh BM,et al.Accuracy of plain abdominal radiographs in the detection of retained surgical needles in the peritoneal cavity[J].Ann Surg,2007,247:8-12.
[12]Macilquham MD,Riley RG,Grossberg P.Identifying lost surgical needles using radiographic techniques[J].AORNJ,2003,78:73-78.
[13]Ostrzenski A.An intraoperative method of localizing a missing piece of a broken laparoscopic instrument[J].Am JObstet Gynecol,1997,176:726-727.
[2]Birolini DV,Rasslan S,Utiyama EM.Unintentionally retained foreign bodies after surgical procedures.Analysis of4547 cases[J].Rev Col Bras Ci,2016,43:12-17.
[3]Simpson KR.Unintended retained foreign objects after surgery and other invasive procedures[J].MCN Am J Matern Child Nurs,2014,39:139.
[4]Lincourt AE,Harrell A,Cristiano J,et al.Retained foreign bodies after surgery[J].J Surg Res,2007,138:170-174.
[5]O'Brien L,Eyster KM,Hansen KA.Retained Foreign Body:“Needle in a Haystack”[J].J Patient Saf,2015,11:228-229.
[6]Egorova NN,Moskowitz A,Gelijns A,et al.Managing the prevention of retained surgical instruments:What is the value of counting?[J].Ann Surg,2007,247:13-18.
[7]Stawicki SP,Lombardo G,Chovanes J.Retained surgical foreign bodies:a synopsis[J].OPUS 12 Scientist,2008,2:1-5.
[8]Devgan L,Walters H,Pronovost PJ.A cost analysis of intra-operative x-ray screening for retained surgical foreign bodies[J].Assoc Acad Surg Soc Univ Surg,2007,137:186.
[9]Ayantunde AA.Approach to the diagnosis and management of retained rectal foreign bodies:clinical update[J].Tech Coloproctol,2013,17:13-20.
[10]Barto W,Yazbek C,Bell S.Finding a lost needle in laparoscopic surgery[J].Surg Laparosc Endosc Percutan Tech,2011,21:e163-e165.
[11]Ponrartana S,Coakley FV,Yeh BM,et al.Accuracy of plain abdominal radiographs in the detection of retained surgical needles in the peritoneal cavity[J].Ann Surg,2007,247:8-12.
[12]Macilquham MD,Riley RG,Grossberg P.Identifying lost surgical needles using radiographic techniques[J].AORNJ,2003,78:73-78.
[13]Ostrzenski A.An intraoperative method of localizing a missing piece of a broken laparoscopic instrument[J].Am JObstet Gynecol,1997,176:726-727.