腹腔镜膀胱破裂修补术的安全性和可行性  

The safety and feasibility of the laparoscopic repair of intraperitoneal bladder rupture

作　　者：艾合买提.卡德尔 邱涛[1] 唐泽天[1] 唐矛[1] 文彬[1] 李鸣[1] Aihemati·Kadeer;Qiu Tao;Tang Zetian;Tang Mao;Wen Bin;Li Ming(Department of Urology Surgery Center,The People′s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830002,China)

机构地区：[1]新疆维吾尔自治区人民医院泌尿中心肿瘤病区,乌鲁木齐830002

出　　处：《中华腔镜外科杂志（电子版）》2018年第5期306-309,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的评价腹腔镜在膀胱破裂修补中的疗效和安全性。方法前瞻性纳入22例新疆维吾尔自治区人民医院采用单孔腹腔镜手术(laparoendoscopic single-site surgery,LESS)治疗的膀胱破裂修补术患者,LESS采用由Alexis切口牵开器和外科手套组成的国产单端口装置。结果共计22例,其中男18例,女4例。平均年龄(40. 50±11. 83)岁。平均体重指数(24. 19±2. 61) kg/m2。膀胱破裂的原因是创伤(21例)或医源性损伤(1例)。膀胱破裂平均直径(3. 41±1. 01) cm。所有患者均使用LESS有效完成。平均手术时间(89. 05±11. 29) min。平均住院时间(2. 91±0. 53) d。术后没有患者需要自控镇痛、没有患者发生严重并发症。术后(7. 68±2. 08) d拔除导尿管。结论采用配备有单端口装置的LESS修复腹膜内膀胱破裂,对于常规腹腔镜手术是一种可行且安全的替代方案。Objective To evaluate the efficacy and safety of laparoendoscopic in the repair of intraperitoneal bladder rupture. Methods 22 patients who underwent laparoendoscopic single- site surgery （LESS） for intraperitoneal bladder rupture in the People＇s Hospital of Xinjiang Uygur Autonomous Region were included prospectively in this study.LESS was performed using a domestic single- port device composed of an Alexis wound retractor and a surgical glove.The study on the safety and effectiveness of this method of treatment. Results Of the 22 patients, 18 were male, 4 were female. The mean age was （40.50± 11.83）years . The mean body mass index was （24.19± 2.61）kg/m^2. The cause of rupture was trauma （ n =21） or latrogenic injury （ n =1）. The mean bladder rupture diameter was （3.41±1.01）cm. LESS bladder rupture repair was completed effectively in all patients. The mean operative time was （89.05± 11.29）minutes . The mean length of hospital stay was（2.91±0.53）days. Postoperatively, none of the patients required patient- controlled analgesia, and none developed major complications. The urethral Foley catheter was removed（7.68± 2.08）days after surgery. Conclusions LESS repair of intraperitoneal bladder rupture, which involves a domestic single- port device,was a feasible and safe alternative to conventional laparoscopy in this case series.

关 键 词：膀胱 破裂 腹腔镜 手术操作 微创 

分 类 号：R699[医药卫生—泌尿科学]