WordNet

a slender endoscope inserted through an incision in the abdominal wall in order to examine the abdominal organs or to perform minor surgery

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/10/29 11:01:03」(JST)

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Laparoscopy (from Ancient Greek λαπάρα (lapara), meaning "flank, side", and σκοπέω (skopeo), meaning "to see") is an operation performed in the abdomen or pelvis through small incisions (usually 0.5–1.5 cm) with the aid of a camera. It can either be used to inspect and diagnose a condition or to perform surgery.

Types

There are two types of laparoscope: (1) a telescopic rod lens system, that is usually connected to a video camera (single chip or three chip), or (2) a digital laparoscope where a miniature digital video camera is placed at the end of the laparoscope, eliminating the rod lens system. The mechanism mentioned in the second type is mainly used to improve the image quality of flexible endoscopes replacing traditional fiberscopes. Nevertheless, laparoscopes are rigid endoscopes. The rigidness is required in clinical practice. The rod lens based laparoscopes are highly dominant in practice, due to their fine optical resolution (50 µm typically, dependant on the aperture size used in the objective lens), and the image quality can be better than the digital cameras if necessary. The second type is very rare in the laparoscope market and hospitals.

Surgery

The laparoscope allows doctors to perform both minor and complex surgeries with a few small cuts in the abdomen.^[1]

There are a number of advantages to the patient with laparoscopic surgery versus an open procedure. These include reduced pain due to smaller incisions and hemorrhaging, and shorter recovery time.

Gynecological diagnosis

In gynecology, diagnostic laparoscopy may be used to inspect the outside of the uterus, ovaries and fallopian tubes, for example in the diagnosis of female infertility. Usually, there is one incision near the navel and a second near to the pubic hairline.^[1]

For gynecological diagnosis, a special type of laparoscope can be used, called a fertiloscope. A fertiloscope is modified to make it suitable for trans-vaginal application.

A dye test may be performed to detect any blockage in the reproductive tract, wherein a dark blue dye is passed up through the cervix and is followed with the laparoscope through its passage out into the fallopian tubes to the ovaries.^[1]

References

^ ^a ^b ^c MedlinePlus > Laparoscopy Update Date: 8/21/2009. Updated by: James Lee, MD

‹ The template below (Digestive system procedures) is being considered for merging. See templates for discussion to help reach a consensus.›

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1. 腹腔鏡下手術において使用する器具およびデバイス instruments and devices used in laparoscopic surgery
2. 腹腔鏡下手術に用いる腹部アクセス法 abdominal access techniques used in laparoscopic surgery
3. ロボット支援下腹腔鏡検査 robot assisted laparoscopy
4. 婦人科癌における腹腔鏡下骨盤内および傍大動脈リンパ節郭清 laparoscopic pelvic and paraaortic lymphadenectomy in gynecologic cancers
5. 卵巣摘出術および卵巣嚢腫核出術 oophorectomy and ovarian cystectomy

English Journal

Evaluation of Ignition and Burn Risk Associated with Contemporary Fiberoptic and Distal Sensor Endoscopic Technology.

Spradling K1, Uribe B, Okhunov Z, Hofmann M, Del Junco M, Hwang C, Gruber C, Youssef RF, Landman J.
Journal of endourology / Endourological Society.J Endourol.2015 May 7. [Epub ahead of print]
PURPOSE: To evaluate the ignition and burn risk associated with contemporary fiberoptic and distal sensor endoscopic technologies.MATERIALS AND METHODS: We used new and used SCB Xenon 300 light sources to illuminate a 4.8 mm fiberoptic cable, 10 mm laparoscope, 5 mm laparoscope, rigid cystosco
PMID 25809547

Laparoscopic suturing learning curve in an open versus closed box trainer.

Rodrigues SP1, Horeman T, Blomjous MS, Hiemstra E, van den Dobbelsteen JJ, Jansen FW.
Surgical endoscopy.Surg Endosc.2015 May 5. [Epub ahead of print]
BACKGROUND: The aim of this study was to examine the influence of training under direct vision prior to training with indirect vision on the learning curve of the laparoscopic suture task.METHODS: Novices were randomized in two groups. Group 1 performed three suturing tasks in a transparent laparosc
PMID 25939742

Single incision cholecystectomy using a clipless technique with LigaSure in a resource limited environment: The Bahamas experience.

Downes RO1, McFarlane M2, Diggiss C3, Iferenta J4.
International journal of surgery case reports.Int J Surg Case Rep.2015 May 1;11:104-109. doi: 10.1016/j.ijscr.2015.04.034. [Epub ahead of print]
BACKGROUND: Scarless/single-incision laparoscopic cholecystectomy (SILC) is a new procedure. It affords a superior cosmetic outcome when compared to conventional laparoscopic cholecystectomy. We examine the application of this technique using LigaSure via a clipless method. The present study looks a
PMID 25958050

Japanese Journal

症例報告腹腔鏡補助下に切除した乳児肝円索膿瘍の1例

安井良僚,河野美幸,桑原強 [他]
日本小児外科学会雑誌 48(6), 965-969, 2012-10
NAID 40019466227

思春期に発症した卵管捻転の1例

福田篤久,江角元史郎,竜田恭介,高橋由紀子,生野猛,熊本崇,荒木保博,安永牧生
日本小児外科学会雑誌 48(2), 229-235, 2012-04-20
症例は13歳の女児.下腹部痛を主訴に当院救急部を受診した.腹部レントゲン検査の結果,便秘症の診断にて加療されていたが,下腹部痛が持続するため3病日にMRI検査を施行した.MRIにて骨盤内に嚢胞性病変を認め,重複腸管,卵管水腫捻転,メッケル憩室捻転などが疑われ当科紹介となった.腹腔鏡下緊急手術の結果,骨盤内に360度捻転し,暗褐色に腫大した左卵管を認めた.両側卵巣,右卵管には異常を認めなかった.左卵 …
NAID 110009437110