摘要
目的探讨利用自制单孔多通道装置及常规腹腔镜器械完成单孔后腹腔镜肾及肾上腺手术的可行性。方法 2011年8月～2012年3月,采用切口保护器+橡胶手套自制单孔多通道装置,利用常规腹腔镜器械完成33例单孔后腹腔镜手术,其中肾上腺肿瘤切除10例,肾癌根治性肾切除6例,肾囊肿去顶减压术12例,肾蒂淋巴管结扎术4例,肾盂成形术1例。结果 33例手术均顺利完成,其中1例肾盂成形术因术中缝合困难另增加一5 mm通道完成手术,无中转开放手术。住院时间4～9 d,平均6 d。术中术后未出现明显并发症。结论自制单孔多通道后腹腔镜手术在治疗肾及肾上腺疾病方面安全可行,具有创伤小、切口美观等优点。自制单孔多通道装置制作使用方便,价格低廉。
Objective To summarize the feasibility of home-made single-site retroperitoneal laparoscopie surgery for kidney and adrenal gland diseases. Methods From August 2011 to March 2012, 33 patients underwent retroperitoneal laparoendoscopic single-site surgery （LESS） by using a home-made single-port multiehannel device and standard laparoseopic instruments. The procedures included adrenalectomy （10 cases） , radical nephrectomy （6 cases） , renal cyst unroofing （12 cases） , ligation of renal lymphatic vessels （4 cases） , and pyeloplasty （ 1 case）. Results All the operations were successfully completed without conversion to open surgery, but a additional 5-ram trocar was used to assist the procedure in one case （ pye｜oplasty ） ; no intraoperative or postoperative complications occurred. The mean hospital stay was 6 days （4 - 9 days）. Conclusions Retroperitoneal LESS is feasible, effective and safe for kidney and adrenal gland diseases, with good cosmetic outcomes. Home-made port is convenient to make and use while its cost is low.
出处
《中国微创外科杂志》
CSCD
2013年第2期158-160,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
单孔
腹腔镜
腹膜后
Single-site
Laparoscopy
Retroperitoneal
