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目的探讨经脐单孔腹腔镜手术(LESS)在泌尿系疾病中的应用。方法 27例患者行LESS,其中肾上腺肿瘤切除5例,肾切除术4例,肾囊肿去顶减压术10例,输尿管切开取石术5例,精索静脉高位结扎术3例。评估手术时间、术中出血量、手术并发症等相关指标。结果 27例患者LESS均获成功,其中1例右肾切除术及1例右肾上腺切除术,因暴露困难,于腋前线右肋缘下增加一5mm Trocar帮助暴露。术中、术后未发生严重并发症。结论 LESS在泌尿系疾病手术中的应用安全、可行,随着临床操作的进一步娴熟,技艺特定手术器械的更新,LESS将拥有更为广阔的发展前景。
Objective To investigate the application of transumbilical single hole laparoscopic surgery (LESS) in urological diseases. Methods 27 patients underwent LESS, including 5 cases of adrenal tumor resection, 4 cases of nephrectomy, renal cyst decompression in 10 cases, 5 cases of ureterolithotomy, varicocele ligation in 3 cases. Evaluation of operation time, intraoperative blood loss, surgical complications and other related indicators. Results All 27 patients were successful in LESS. One case of right nephrectomy and one case of right adrenalectomy resulted in difficulty in exposure. A 5mm Trocar was added to the right margin of the axillary line to help expose the LESS. Intraoperative and postoperative no serious complications. Conclusions The application of LESS in urological diseases is safe and feasible. With the further clinical operation and the updating of skill-specific surgical instruments, LESS will have a broader development prospect.