中国实用外科杂志

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腹腔镜辅助腹横肌平面阻滞技术临床应用进展

李东明,杨    鋆,王宇凡张忠涛杨盈赤   

  1. 首都医科大学附属北京友谊医院普通外科 国家消化系统疾病临床医学研究中心,北京100050
  • 出版日期:2021-04-01 发布日期:2021-04-20

  • Online:2021-04-01 Published:2021-04-20

摘要: 腹横肌平面(TAP)阻滞技术在腹部手术中的应用经历了一个复杂的阶梯式的发展过程,由外科医生主导的腹腔镜辅助腹横肌平面阻滞(Lap-TAP)是近年来国际上一种新兴的围手术期镇痛方式,逐渐被临床推广应用。与超声引导下TAP阻滞技术相比,Lap-TAP可在腹腔镜直视侧腹壁下,由外科医师独立完成操作,无需麻醉科医师及超声设备,具有良好的围手术期镇痛效果,是一种更为安全、有效、简单、省时的镇痛方式,可推荐其作为超声引导下TAP阻滞的替代方法,广泛应用于各腹部微创外科领域的围手术期镇痛。

关键词: 腹横肌平面阻滞, 腹腔镜, 围手术期, 镇痛

Abstract: Clinical prospect of laparoscopic-assisted transversus abdominis plane block (Lap-TAP) in the era of ERAS                LI Dong-ming,YANG Yun,WANG Yu-fan,et al. Department of General Surgery,Beijing Friendship Hospital,Capital Medical University;National Clinical Research Center for Digestive Diseases,Beijing 100050,China
Corresponding author: YANG Ying-chi,E-mail:yangyingchi@
ccmu.edu.cn
Abstract    The application of transverse abdominis plane (TAP) block technique in abdominal surgery has experienced a complicated and step-by-step development process,and now laparoscopic-assisted transversus abdominis plane block (Lap-TAP),which is operated by surgeons,has been a new perioperative analgesia method in the world in recent years and has been gradually applied in clinical practice. Compared with the ultrasound-guided TAP block technique,LAP-TAP provides a significant effect of perioperative analgesia and it’s operated under laparoscopic direct vision of the lateral abdominal wall by the surgeon independently without anesthesiologist and ultrasound equipment. It is a safer,more effective,simpler and more time-saving perioperative analgesia method,which can be recommended as an alternative technique of ultrasound-guided TAP block to be widely applied to perioperative analgesia in various fields of minimally invasive abdominal surgery.

Key words: transversus abdominis plane block, laparoscopy, perioperative, analgesia