单孔后腹腔镜手术的临床应用（附102例报告）

Clinical application of retroperitoneal laparoendoscopic single-site surgery (102 cases)

摘要:

摘要：目的 探讨单孔后腹腔镜技术治疗肾脏输尿管疾病的安全性、可行性及应用价值。方法 2013年8月－2016年10月采用单孔后腹腔镜技术行肾囊肿去顶术48例、输尿管切开取石术35例和无功能肾切除术19例。使用单孔三通道套管、30°专用加长腹腔镜、预弯加长腹腔镜器械和普通腹腔镜器械配合完成操作。结果 全部患者手术均获成功，单孔后腹腔镜肾囊肿去顶术手术时间（32.32±11.46）min；单孔后腹腔镜输尿管切开取石术手术时间（78.25±24.66）min；单孔后腹腔镜单纯肾切除术手术时间（87.11± 32.24）min。无1例增加辅助穿刺孔，无中转常规腹腔镜手术或开放手术，无并发症发生。结论 单孔后腹腔镜技术治疗肾输尿管疾病安全、可行，手术效果与传统腹腔镜等同，有临床应用价值。

Abstract:

Abstract: Objective To report our initial experience of retroperitoneal laparoendoscopic single-site surgery (LESS) and explore its feasibility. Methods Between August 2013 and October 2016, 102 patients underwent retroperitoneal LESS (48 cases in renal cyst ablation, 35 cases in ureterolithotomy and 19 cases in simple nephrectomy). All procedures were performed using a multichannel single-site device, 30° extra-long laparoscope and a varying combination of standard and specialized laparsocopic instruments. The mean operative time of renal cyst surgery was (32.32 ± 11.46) min. The mean operative time of ureterolithotomy was (78.25 ± 24.66) min. The mean operative time of nephrectomy was (87.11 ± 32.24) min. Results All retroperitoneal LESS procedures were successfully completed without any complications occurred; no procedure was converted into standard laparoscopic or open surgery. Conclusion Retroperitoneal LESS for the treatment of kidney and ureter disease is safe and effective.