CAJ | 학술논문

目的总结单孔腹腔镜手术在泌尿外科应用的初步体会和经验。方法2011年10月至2013年10月我科行单孔腹腔镜手术95例，其中肾囊肿去顶减压术40例，精索静脉结扎术12例，肾癌根治术10例，肾上腺肿瘤切除术15例，无功能肾切除术2例，输尿管切开取石术14例，膀胱憩室切除术1例，膀胱肿瘤切除术1例。记录手术时间、术中失血量、术后住院天数、并发症或中转开放手术例数、术后患者疼痛指数等。结果所有手术均取得成功，术中、术后均无明显并发症发生。结论证明了单孔腹腔镜手术在泌尿外科应用的可行性和安全性。随着手术器械的改进，手术例数的增加，手术者经验的累积，单孔腹腔镜手术在泌尿外科领域的应用将更加广阔。
목적총결단공복강경수술재비뇨외과응용적초보체회화경험。방법2011년10월지2013년10월아과행단공복강경수술95례，기중신낭종거정감압술40례，정색정맥결찰술12례，신암근치술10례，신상선종류절제술15례，무공능신절제술2례，수뇨관절개취석술14례，방광게실절제술1례，방광종류절제술1례。기록수술시간、술중실혈량、술후주원천수、병발증혹중전개방수술례수、술후환자동통지수등。결과소유수술균취득성공，술중、술후균무명현병발증발생。결론증명료단공복강경수술재비뇨외과응용적가행성화안전성。수착수술기계적개진，수술례수적증가，수술자경험적루적，단공복강경수술재비뇨외과영역적응용장경가엄활。
Objective To summary the initial experience of laparoendoscopic single-site sur-gery in our department of urology. Methods There were ninety-five patients underwent laparoen-doscopic single-site surgery using the single-site and common surgical instruments of laparoen-doseopie from October 201 1 to October 2013,consisted of forty patients of renal cyst decortication, twelve patients of high ligation of spermatic vein,ten patients of radical nephrectomy,fifteen pa-tients of adrenalectomy,two patients of nephrectomy,fourteen patients of ureterolithotomy,one pa-tient of bladder diverticulum resection,one patient of resection of bladder tumor.Record the opera-tion time,intraoperative blood loss,postoperative hospital stay,complications or conversion to open surgery,postoperative pain in patients with index. Results All the operations were successfully completed.No significant intraoperative complications and postoperative complications occurred. Conclusions Laparoendoscopic single-site surgery represents a safe and feasible option for urologic patients.With more clinical practices,laparoendoscopic single-site surgery in urology will be applied generally.