腹腔镜膀胱破裂修补术的安全性和可行性

目的评价腹腔镜在膀胱破裂修补中的疗效和安全性。 方法前瞻性纳入22例新疆维吾尔自治区人民医院采用单孔腹腔镜手术(laparoendoscopic single-site surgery，LESS)治疗的膀胱破裂修补术患者，LESS采用由Alexis切口牵开器和外科手套组成的国产单端口装置。 结果共计22例，其中男18例，女4例。平均年龄(40.50 ± 11.83)岁。平均体重指数(24.19±2.61)kg/m²。膀胱破裂的原因是创伤(21例)或医源性损伤(1例)。膀胱破裂平均直径(3.41±1.01)cm。所有患者均使用LESS有效完成。平均手术时间(89.05±11.29)min。平均住院时间(2.91±0.53)d。术后没有患者需要自控镇痛、没有患者发生严重并发症。术后(7.68±2.08)d拔除导尿管。 结论采用配备有单端口装置的LESS修复腹膜内膀胱破裂，对于常规腹腔镜手术是一种可行且安全的替代方案。

The safety and feasibility of the laparoscopic repair of intraperitoneal bladder rupture

ObjectiveTo evaluate the efficacy and safety of laparoendoscopic in the repair of intraperitoneal bladder rupture. Methods22 patients who underwent laparoendoscopic single-site surgery (LESS) for intraperitoneal bladder rupture in the People′s Hospital of Xinjiang Uygur Autonomous Region were included prospectively in this study.LESS was performed using a domestic single-port device composed of an Alexis wound retractor and a surgical glove.The study on the safety and effectiveness of this method of treatment. ResultsOf the 22 patients, 18 were male, 4 were female. The mean age was (40.50±11.83)years. The mean body mass index was (24.19± 2.61)kg/m². The cause of rupture was trauma (n=21) or latrogenic injury (n=1). The mean bladder rupture diameter was (3.41±1.01)cm. LESS bladder rupture repair was completed effectively in all patients. The mean operative time was (89.05±11.29)minutes. The mean length of hospital stay was(2.91±0.53)days. Postoperatively, none of the patients required patient-controlled analgesia, and none developed major complications. The urethral Foley catheter was removed(7.68±2.08)days after surgery. ConclusionsLESS repair of intraperitoneal bladder rupture, which involves a domestic single-port device, was a feasible and safe alternative to conventional laparoscopy in this case series.