针式腹腔镜在泌尿外科的应用现况

针式腹腔镜是新近出现的直径只有2 mm的腹腔镜设备,目前已用于普通外科、妇产科等一些疾病的治疗上.在泌尿外科方面,针式腹腔镜在肾上腺切除术、小儿隐睾固定术等手术上也得到了应用.虽然对针式腹腔镜手术的定义仍存在争议,目前2 mm的器械也尚有局限性,但其相对于传统腹腔镜有明显的优点,如损伤比传统腹腔镜手术更小、美观性更好、住院时间更短、恢复更快.针式腹腔镜将是常规腹腔镜发展的必然结果.

Current status of needlescopic surgery in urology

Needlescope is a laparoscopic equipment with a diameter of only 2 mm. It has been used in treatment of some general surgery and gynecology diseases. In urology .needlescopic techniques have also been applied in some procedures including adrenalectomy and pediatric orchiopexy. Although debates still exist about the definition of needlescopic surgery and the 2-mm instruments have their limitation,needlescopic technology has obvious advantages such as smaller traumas,superior cosmetic result, shorter hospital stay, and abbreviated convalescence. Needlescopic techniques represent a natural evolution of conventional laparoscopy.