经脐单孔多通道腹腔镜下放置腹透管的初步尝试

Single-site multi-channel transumbilical laparoscopic implantation of long-term peritoneal dialysis catheters:initial clinical experience with 2 cases

目的尝试应用经脐单孔多通道腹腔镜下放置腹透管,总结初步应用体会。方法 2009年5至8月对2例慢性肾功能衰竭且需行腹膜透析的患者行经脐单孔多通道腹腔镜下放置腹透管。结果手术顺利完成,时间分别为15、25min,出血约20ml,未额外增加工作通道,术后1d出院。结论经脐单孔多通道腹腔镜下放置腹透管安全、有效,术后无明显手术瘢痕,美容效果良好。

Objective To present our initial experience of single-port multi-channel laparoscopic urologic surgery for the transumbilical laparoscopic implantation of long-term peritoneal dialysis catheters.Methods On May 17th and August 18th,2009,2patients underwent single-port multi-channel laparoscopic surgery for chronic renal failure（CRF）due to benign arteriolonephrosclerosis and type 2diabetes mellitus（DM）.The flexible laparoscopic instrumentation with a homemade single port and multichannels was used for the transperitoneal approach.Results The 2cases were completed without conversion to standard laparoscopic or laparotomy.The operation time for implantation was 15-25min,and the estimated blood loss was about 20ml.The patients were discharged 1day after operation and were followed up for 6-8months.Conclusion Singleport multi-channel laparoscopy is feasible,safe,and effective for transumbilical laparoscopic implantation of long-term peritoneal dialysis catheters,with the advantages of minimal incision and better cosmetic benefit