微通道后腹腔镜技术在泌尿外科中的发展与应用

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摘要传统腹腔镜技术需要多个5~10 mm穿刺操作通道,由此引起的出血,穿刺通道疝以及多个穿刺通道术后瘢痕,逐渐引起泌尿外科医生的重视,从而产生了单孔腹腔镜,然而国内泌尿外科以后腹腔镜技术为主,后腹腔单孔技术丧失了美容方面的优势,并且由于操作习惯的改变,术中器械的相互影响,限制了其推广应用。采用微通道后腹腔镜技术,通过引入3 mm操作通道,减少了传统腹腔镜大通道的操作孔径,降低了穿刺通道引起的出血、疝等并发症;同时避免了单孔后腹腔镜在小标本手术时大切口对肌肉的损伤,满足了美容方面的要求;微通道后腹腔镜技术可以保持传统腹腔镜的操作习惯,减少了对术者的影响。本文综述了微通道后腹腔镜技术的发展过程以及其在泌尿外科的应用。

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	王道虎
	丘少鹏

关键词 ：微通道, 后腹腔镜

Abstract：Laparoscopic technique is widely spread in urology because of less blood lose, short hospital stay and cosmetic benefit, comparing with traditional open surgery. However, the conventional laparoscopy uses 5 or 10 mm Trocars for surgery and the bleeding, hernia and scars related to multiple Trocar ports are noted by most of urologists. Thus laparoendoscopic single-site surgery(LESS) was introduced to urology. However the cosmetic merit lose for retroperitoneal LESS because retroperitoneal laparoscopy is dominant in China. At the same time, changes of operating habits, collision of instruments also limit the spread of LESS in urology. Small incision access retroperitoneoscopic technique (SMART) decreases the complications of bleeding and hernia related to big Trocars by using 3 mm Trocar; it also avoids the big incision for LESS platform in procedure with small specimen retrieval to fulfill the cosmetic requirement; meanwhile SMART has less effect on surgeons by keeping the operative habit of conventional laparoscopy. The development and application of SMART is overviewed in this paper.

Key words： microchannel retroperitoneal laparoscopy

收稿日期: 2012-10-08

ZTFLH:

R572

通讯作者: 丘少鹏, qiushp@mail.sysu.edu.cn

引用本文:

王道虎, 丘少鹏. 微通道后腹腔镜技术在泌尿外科中的发展与应用[J]. 微创泌尿外科杂志, 2012, 1(1): 27-30.
Wang Daohu, Qiu Shaopeng. The development and application of SMART technique in urology. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2012, 1(1): 27-30.

链接本文:

http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract959.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2012/V1/I1/27

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