单孔腹腔镜技术在泌尿外科的应用进展及展望

单孔腹腔镜技术(laparo-endoscopic single-site surgery,LESS)在继承传统腹腔镜技术特点的基础上具有更好的术后美容效果和患者术后恢复更快的独特优势.然而,单孔腹腔镜手术存在暴露不佳、器械碰撞干扰、缝合难度大等难点.自2007年以来,国内外泌尿外科医师不断拓展LESS在泌尿外科领域的...

Application progress and future direction of laparo-endoscopic single-site surgery in urology

Based on the technical features of traditional laparoscopy technique, laparo-endoscopic single-site surgery(LESS) shows unique advance including better cosmetic effect and rapid convalescence. Nevertheless, there are several technical challenges in LESS including exposing difficulty, collision of instruments and suture difficulty. Since 2007, the application of LESS in urology has been widely extended by urologists. Urologists are able to overcome the operation difficulty of LESS by choosing right patient position, selecting proper operative incision, using natural orifice and developing novel operative instruments. Robotic-assisted LESS fully reveals the unique advance of LESS, so it will promote the rapid development and widespread application of LESS. In this paper, the development history of LESS in urology is reviewed, and the application progress and future direction of LESS in urology are discussed.