单孔腹腔镜在泌尿外科应用的初步探讨

目的总结单孔腹腔镜在本单位泌尿外科应用的初步经验。方法采用单孔三通道,经脐腹腔途径行精索静脉高位结扎术21例,经后腹腔入路行肾囊肿去顶术19例、肾上腺腺瘤切除术6例、无功能肾切除术5例,记录围手术期并发症、手术时间、出血情况、引流管拔出时间、住院时间等。结果除1例肥胖肾上腺腺瘤患者增加了一个5mm穿刺孔外,其余所有患者手术均取得成功,术中、术后均无明显并发症的发生。结论验证了单孔腹腔镜在泌尿外科应用的安全性和可行性,随着更多的临床实践、器械改进,单孔腹腔镜手术将得到更完善和广阔的应用前景。

The initial experience of laparoendoscopic single-site surgery in urology

Objective To present the initial experience of laparoendoscopic single-site surgery in our department of urology.Methods Twenty-one patients underwent tansumbilical single-site laparoendoscopic high ligation of spermatic vein.Nineteen,six and five patients underwent retroperitoneal single-site laparoendoscopic renalcyst unroofing,adrenalectomy and nephrectomy,respectively.In each patient the peroperative complications,operative time,estimated blood loss,drainage tube retention time and postoperative hospita...