摘要
目的探讨自制通道经脐单孔腹腔镜肾囊肿去顶术的可行性。方法 2010年1～6月共行经脐单孔腹腔镜肾囊肿去顶术5例,术中所用的自制通道由一个聚碳酸酯倒锥形装置和一个无菌手套制作而成。取脐旁约3 cm切口,置入自制通道,将13 mm,11 mm,5 mm,3个trocar放入其中,使用超声刀及分离钳等腹腔镜器械进行操作,在距肾实质约0.5 cm处剥离囊壁并取出,最后缝合切口。结果所有手术均成功,平均手术时间77.6 min(66～93 min),平均出血量11 ml(5～20ml),术后住院时间平均6.2 d(5～7 d),术后随访4.8月(2～7个月),无并发症。结论对于熟练掌握腹腔镜技术的医师,自制通道单孔腹腔镜肾囊肿去顶术是安全可行的。
Objective To introduce the feasibility of single-port transumbilical laparoscopic renal cystectomy by using a self-made port.Methods During January 2010 to June 2010,5 cases of single-port transumbilical laparoscopic renal cystectomy were performed in our department.The single-port was made up of a latex glove and an inverted cone device of polycarbonate.A 3-cm incision was made next to the umbilicus,and the single port was then inserted with three trocars（13,5,and 11 mm） inside.Ultrasound knife and other laparoscopic instruments were used to cut the renal cyst,and the capsule wall was striped about 5 mm apart from the renal parenchyma. Results The procedure was successfully completed in all the cases with a mean operation time of 77.6 min（66-93 min）,and mean blood loss of 11 ml（5-20 ml）.None of the cases was converted to open operation or needed blood transfusion;their mean postoperative hospital stay was 6.2 d（5-7 d）.After being discharged,the patients were followed up for 4.8 months（2-7 months）,during which no complications occurred. Conclusions Single-port transumbilical laparoscopic renal cystectomy by using a self-made port is safe and feasible for surgeons who have excellent laparoscopic skills.
出处
《中国微创外科杂志》
CSCD
2010年第11期978-980,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
单孔
肾囊肿
Laparoscopy
Single-port
Renal cyst
