论文部分内容阅读
目的探讨单孔腹腔镜手术(LESS)技术在泌尿外科腹腔镜手术中的作用与价值。方法应用单孔腹腔镜技术实施125例泌尿外科腹腔镜手术,记录手术时间、术中出血量、术后禁食时间、引流管停留时间、术后住院时间、术中及术后并发症等指标。结果所有手术均顺利完成,其中上尿路手术109例(87.2%),肿瘤相关手术51例(40.8%);经腹膜后途径手术93例(74.4%),经脐切口手术32例(25.6%)。其中11例术中增加1个3 mm或5 mm辅助操作通道,所有患者在围手术期均无发生严重并发症。结论单孔腹腔镜技术可有效应用于泌尿外科部分术式,在掌握手术适应证的前提下可有序开展。
Objective To investigate the role and value of single hole laparoscopic surgery (LESS) in laparoscopic urology surgery. Methods One-hole laparoscopic technique was used to perform 125 cases of urology laparoscopic surgery. The operation time, blood loss, postoperative fasting time, drainage tube stay, postoperative hospital stay, intraoperative and postoperative complications were recorded . Results All the surgeries were completed successfully, including 109 cases of upper urinary tract surgery (87.2%), 51 cases of tumor related surgery (40.8%), 93 cases (74.4%) of them were treated by retroperitoneal approach, 32 cases (25.6% ). Of the 11 cases, one 3 mm or 5 mm auxiliary operation channel was added during operation, and no serious complications occurred during the perioperative period in all patients. Conclusion Single-hole laparoscopic surgery can be effectively applied to partial surgical urology, which can be carried out orderly under the premise of masculine indications for surgery.