| 内镜组织结构分离技术治疗腹壁缺损 |
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| 引用本文： | 顾岩.内镜组织结构分离技术治疗腹壁缺损[J].中华普外科手术学杂志（电子版）,2014(3):15-18. |
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| 作者姓名： | 顾岩 |
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| 作者单位： | 上海交通大学医学院附属第九人民医院普外科 上海交通大学疝与腹壁外科疾病诊治中心,200011 |
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| 基金项目： | 国家自然基金（81270444） |
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| 摘 要： | 如何有效进行复杂腹壁缺损的修复与重建一直是困扰腹壁外科医师的一个难题，传统的组织结构分离技术虽然能够通过自体组织推进实现腹壁缺损的功能性修复，但其广泛皮瓣分离所导致的切口并发症是其重要不足。而内镜组织结构分离技术由于可保护腹壁穿支血管，因此具有并发症少、恢复快、术后住院时间短的优点。作为一种自体组织修复的重要手段，内镜组织结构分离技术必将在腹壁缺损修复重建中发挥越来越重要的作用。
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| 关 键 词： | 腹腔镜检查 内窥镜 腹壁 组织结构分离技术 |
Endoscopic component separation technique in reconstruction of abdominal wall defects |
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| Authors: | Gu Yan |
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| Institution: | Gu Yan( Hernia and Abdominal Wall Disease Center, Shanghai Jiao Tong University; Department of general surgery, Shanghai Ninth Hospital0, Shaaghai JiaoTong University School of Medicine, Shanghai 200011, China) |
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| Abstract: | The ideal surgical treatment for complicated abdominal wall defects remains elusive . Traditional component separation technique （ CST ） could ensure the closure with physiological tension of native tissues.However, CST requires an extensive subcutaneous dissection , which might lead to potential wound complications . The endoscopic component separation technique （ ECST ） provides a minimally invasive alternative to open techniques , while eliminating the potential space and subsequent complications of large skin flaps, with faster recovery and shorter hospital stay .ECST could play important roles in the reconstruction of abdominal wall defect . |
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| Keywords: | Laparoscopy Endoscopes Abdominal wall Component separation technique |
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