经脐单孔腹腔镜肾切除术:首例经验与体会  

Transumbilical one-trocar laparoscopic nephrectomy:the first clinical report

作　　者：曾国华[1] 吴文起[1] 吴开俊[1] 单炽昌[1] 袁坚[1] 梁卓寅[1] 卢穗琳[1] 郭彬[1] 

机构地区：[1]广州医学院第一附属医院微创外科中心泌尿外科,广东广州510230

出　　处：《中国内镜杂志》2009年第10期1019-1021,共3页China Journal of Endoscopy

摘　　要：目的汇报国内首例经脐单孔腹腔镜肾切除术的经验与体会,并探讨其可行性。方法1例左肾萎缩无功能合并同侧肾结石患者行单孔腹腔镜肾切除术。在脐部做一4cm切口,经脐建立腹腔镜单孔4通道操作通道,维持气腹并完成肾切除手术。结果手术时间为126min,手术顺利完成,切除左侧肾脏同时取出结石,术后未放置引流管,无出血等并发症发生,术后第3天患者顺利出院,脐部几乎无明显手术瘢痕。结论经脐单孔腹腔镜肾切除术安全可行,较传统多孔腹腔镜更加微创美容。[Objective] To report the initial clinical experience of nephrectomy using transumbilical one-trocar laparoscopic technique. [Methods] A patient with non-functioning left kidney combined with stone underwent transumbilical laparoscopic nephreetomy using the laparoscopie single-site surgery procedure with a quad-channel access port（R-Port）. The complications and technical issues during the procedure were noted. [ Results ] The transumbilical one-trocar laparoscopic nephrectomy was performed successfully. The operative time was 126 minutes. No drainage tube was placed, and there were no intraoperative or postoperative complications. The patient was discharged 3 days after operation with the scar receded into the umbilicus and hardly visible. [ Conclusions] The tran- sumbilical one-trocar laparoscopic nephrectomy is safe and feasible. The procedure has obvious cosmetic and minimolly invasive advantages compared to traditional laparoscopy.

关 键 词：经脐手术 腹腔镜 单孔 肾切除术 

分 类 号：R692[医药卫生—泌尿科学]