微创泌尿外科杂志
微創泌尿外科雜誌
미창비뇨외과잡지
JOURNAL OF MINIMALLY INVASIVE UROLOGY
2014年
1期
8-11
,共4页
马鑫%张旭%董隽%高江平%陈光富%卢锦山%史立新%孙圣坤%祖强%黄双%祝强%明少雄
馬鑫%張旭%董雋%高江平%陳光富%盧錦山%史立新%孫聖坤%祖彊%黃雙%祝彊%明少雄
마흠%장욱%동준%고강평%진광부%로금산%사립신%손골곤%조강%황쌍%축강%명소웅
机器人%单孔腹腔镜手术%肾囊肿去顶减压术
機器人%單孔腹腔鏡手術%腎囊腫去頂減壓術
궤기인%단공복강경수술%신낭종거정감압술
robot%laparoendoscopic single-site surgery%renal cyst decortication
目的：初步探索机器人辅助经脐单孔腹腔镜肾囊肿去顶减压术的安全性和可行性.方法：2013年12月~2014年1月,开展机器人辅助经脐单孔腹腔镜肾囊肿去顶减压术3例.患者取45°健侧卧位,作患侧脐缘2cm切口,Hasson法制备经脐入路机器人单孔腹腔镜手术通道切口,置入机器人单孔多通道Port装置,从通道中分别置入1个8．5mm镜头套管、两个5mm器械套管及1个5mm辅助套管,连接安装床旁机械臂和观察镜,按照标准经腹入路腹腔镜肾囊肿去顶减压术的操作步骤完成手术,术中标本经脐部切口取出.结果：3例手术均成功完成,手术时间分别为75、65和50min,估计出血量分别约20、15和10ml,术后住院日分别为2、3及3天,无中转开放或标准三孔腹腔镜手术,未发生围手术期并发症,3例患者术后病理均提示肾囊肿,短期随访无术后并发症发生.结论：初步经验表明机器人辅助经脐单孔腹腔镜肾囊肿去顶减压术安全、可行.但目前完成病例数较少,其临床治疗效果尚需大样本、多中心的长期随访及随机对照研究予以验证.
目的：初步探索機器人輔助經臍單孔腹腔鏡腎囊腫去頂減壓術的安全性和可行性.方法：2013年12月~2014年1月,開展機器人輔助經臍單孔腹腔鏡腎囊腫去頂減壓術3例.患者取45°健側臥位,作患側臍緣2cm切口,Hasson法製備經臍入路機器人單孔腹腔鏡手術通道切口,置入機器人單孔多通道Port裝置,從通道中分彆置入1箇8．5mm鏡頭套管、兩箇5mm器械套管及1箇5mm輔助套管,連接安裝床徬機械臂和觀察鏡,按照標準經腹入路腹腔鏡腎囊腫去頂減壓術的操作步驟完成手術,術中標本經臍部切口取齣.結果：3例手術均成功完成,手術時間分彆為75、65和50min,估計齣血量分彆約20、15和10ml,術後住院日分彆為2、3及3天,無中轉開放或標準三孔腹腔鏡手術,未髮生圍手術期併髮癥,3例患者術後病理均提示腎囊腫,短期隨訪無術後併髮癥髮生.結論：初步經驗錶明機器人輔助經臍單孔腹腔鏡腎囊腫去頂減壓術安全、可行.但目前完成病例數較少,其臨床治療效果尚需大樣本、多中心的長期隨訪及隨機對照研究予以驗證.
목적：초보탐색궤기인보조경제단공복강경신낭종거정감압술적안전성화가행성.방법：2013년12월~2014년1월,개전궤기인보조경제단공복강경신낭종거정감압술3례.환자취45°건측와위,작환측제연2cm절구,Hasson법제비경제입로궤기인단공복강경수술통도절구,치입궤기인단공다통도Port장치,종통도중분별치입1개8．5mm경두투관、량개5mm기계투관급1개5mm보조투관,련접안장상방궤계비화관찰경,안조표준경복입로복강경신낭종거정감압술적조작보취완성수술,술중표본경제부절구취출.결과：3례수술균성공완성,수술시간분별위75、65화50min,고계출혈량분별약20、15화10ml,술후주원일분별위2、3급3천,무중전개방혹표준삼공복강경수술,미발생위수술기병발증,3례환자술후병리균제시신낭종,단기수방무술후병발증발생.결론：초보경험표명궤기인보조경제단공복강경신낭종거정감압술안전、가행.단목전완성병례수교소,기림상치료효과상수대양본、다중심적장기수방급수궤대조연구여이험증.
Objective:To investigate the clinical safety and feasibility of robotic transumbilical laparoendoscopic single-site renal cyst decortication.Methods:From December 2013 to January 2014 ,3 cases of robotic transumbilical laparoendoscopic single-site renal cyst decortication were perfor med in our depart ment .The patient was placed in a 45°flankpositionfortransperitonealsurgery.A2-cmskinincisionaroundtheumbilicus was madeanddeepenedto the anterior rectus fascia ,then the peritoneum was incised and the Port was deployed .A8 .5-mmvideo-laparoscope , two 5-mmtrocars and a 5-mm assisted trocar were inserted through the Port syste m.Diagnostic laparoscopy was perfor med before robotic checking .The operative robot then was brought in over the patient'healthy side .Standard procedureoflaparoscopicrenalcystdecorticationwasperformed.Thespecimens wereremovedthroughtheumbilical incision.Results:Three cases of robotic transumbilical laparoendoscopic single-site renal cyst decortication were per-for med successfully with no conversion to open or 3-port laparoscopic approach .The operative ti me was 75 ,65 and 50 min,theestimatedbloodloss was20,15and10 mL,andthepostoperativehospitalstaywas2,3and3days,re-spectively.Nointro-operative complication was observed.There was no postoperative complications during a short follow-up period .Conclusions:Initial experience on robotic transumbilical laparoendoscopic single-site renal cyst decorticationhadshownitsclinicalsafetyandfeasibility.However,thoseresultsshouldbefurtherprovedbylarge sample,multiplecenters,randomcontrol studyandlong-termfollow-up.
