单孔腹腔镜猪动物训练模型的建立体会

目的介绍用猪作单孔腹腔镜泌尿外科手术动物模型的经验与体会。方法对20头健康小型猪以氯胺酮、戊巴比妥钠麻醉,应用单孔多通道（Triport）腹腔镜穿刺器（Olympus）或自制单通道穿刺器建立通道,利用可弯曲操作器械（钳、剪）,开展单孔腹腔镜肾切除术、肾部分切除术、肾固定术、输尿管切开取石、输尿管离断吻合、输尿管膀胱吻合术、膀胱切开取石术,每头猪双侧脏器均行相应手术。记录术中、术后并发症的发生情况,以及遇到的技术难题。结果用20头猪共开展各种单孔腹腔镜手术260例次,其中肾切除术40例次,成功率85.0%（34/40）;肾部分切除术40例次,成功率80.0%（32/40）;肾固定术40例次,成功率95.0%（38/40）;输尿管切开取石40例次,成功率85.0%（34/40）;输尿管离断吻合术40例次,成功率82.5%（33/40）;输尿管膀胱吻合术40例次,成功率87.5%（35/40）;膀胱切开取石术20例次,成功率100%（20/20）。结论使用单孔多通道（Triport）腹腔镜穿刺器或自制单通道穿刺器在猪体内建立单孔腹腔镜泌尿外科动物模型是可行、有效的,可以为临床医师提供良好的训练机会。

Experience of building a pig model for the training of laparoendoscopic single-site surgery

Objective To present our experience in establishing a pig model for the training of laparo-endoscopic single-site surgery(LESS).Method After anaesthetized with ketamine and pentobarbital sodium,the OLYMPUS triport or hone-made LESS port were placed,standard and articulating instruments were used to performed nephrectomy,partial nephrectomy,nephropexia,ureterolithectomy,ureter anastomosis,uretero-cysto anastomosis,and cystolithectomy on the animal model.Intra and post operative complications and the technica...