经脐单孔腹腔镜技术在泌尿外科手术中的应用体会

Experience of transumbilical laparoscopic single-site surgery in urology

目的:探讨经脐单孔腹腔镜技术在泌尿外科手术中的应用价值。方法:分别采用悬吊式及气腹式经脐单孔腹腔镜技术,2例行精索静脉高位结扎术,1例行肾囊肿去顶减压术,1例行肾上腺切除术,分别记录围手术期并发症、手术时间、术中出血量、术后肠蠕动恢复时间、住院时间、随访情况等。结果:4例手术均获成功,无围手术期并发症发生,随访1个月～2年,无切口疝等并发症发生。结论:经脐单孔腹腔镜技术在泌尿外科手术中安全、可行,美容效果突出。随着手术实践的增加及器械的完善改进,经脐单孔腹腔镜技术在泌尿外科手术中必将占有一席之地。

Objective：To investigate the practical experience of laparoendoscopic single-site surgery （LESS） in urology. Methods：Transumbilical LESS was carried out on 4 patients by one surgical team with gasless or normal approach. Two of them underwent transumbilieal single-site laparoscopic high ligation of spermatic vein, the other two underwent renal cyst unroofing and adrenalectomy, respectively. The perioperative complications, operative time, estimated blood loss, postoperative recovery time of bowel peristalsis, postoperative hospital stay and postoperative follow-up of each patient were recorded. Results： All the operations were completed successfully with no perioperative complications. No incisional hernia or other postoperative complications were observed after a short-term followup（ one month to two years）. Conclusions：Initial study on LESS has shown its clinical safety and feasibility in urology, and this technique has an excellent cosmetic effect. With the accumulation of clinical experience as well as the improvement of instruments, LESS will have a place in urological surgery.