单孔腹腔镜技术在泌尿外科的应用进展及展望  

Application progress and future direction of laparo-endoscopic single-site surgery in urology

作　　者：刘存东 周冉冉 包继明 LIU Cundong;ZHOU Ranran;BAO Jiming(Department of Urology,Third Affiliated Hospital of Southern Medical University,Guangzhou,510630,China)

机构地区：[1]南方医科大学第三附属医院泌尿外科,广州510630

出　　处：《临床泌尿外科杂志》2022年第1期1-5,共5页Journal of Clinical Urology

摘　　要：单孔腹腔镜技术(laparo-endoscopic single-site surgery, LESS)在继承传统腹腔镜技术特点的基础上具有更好的术后美容效果和患者术后恢复更快的独特优势。然而,单孔腹腔镜手术存在暴露不佳、器械碰撞干扰、缝合难度大等难点。自2007年以来,国内外泌尿外科医师不断拓展LESS在泌尿外科领域的应用,通过选择合理的患者体位、选择合适的手术切口、联合自然腔道以及研发新型手术器械等途径来降低单孔腹腔镜手术的操作难度,从而推动单孔腹腔镜手术的广泛开展。机器人辅助单孔腹腔镜手术的开展更加彰显单孔腹腔镜手术的独特优势,将显著推动LESS的快速发展和广泛应用。本文将综述LESS在泌尿外科的发展历程,并对LESS在泌尿外科的应用进展及未来发展方向作一述评。Based on the technical features of traditional laparoscopy technique, laparo-endoscopic single-site surgery(LESS) shows unique advance including better cosmetic effect and rapid convalescence. Nevertheless, there are several technical challenges in LESS including exposing difficulty, collision of instruments and suture difficulty. Since 2007, the application of LESS in urology has been widely extended by urologists. Urologists are able to overcome the operation difficulty of LESS by choosing right patient position, selecting proper operative incision, using natural orifice and developing novel operative instruments. Robotic-assisted LESS fully reveals the unique advance of LESS, so it will promote the rapid development and widespread application of LESS. In this paper, the development history of LESS in urology is reviewed, and the application progress and future direction of LESS in urology are discussed.

关 键 词：单孔腹腔镜技术 泌尿外科 微创手术 

分 类 号：R572[医药卫生—消化系统]