Escandón A S, Garcia O G
Department of Urology, Comarcal Hospital of Monforte, Lugo, Spain.
Tech Urol. 2000 Mar;6(1):39-41.
Urethrovesical or urethroileal anastomosis is a critical step during radical surgery to obtain good postoperative continence without restenosis of the lumen. A number of surgical maneuvers and technical devices have been proposed for safer reconstruction of the urethrovesical junction. We experimentally used a 25-charrier cystoscope sheath as a guide for exact placement of sutures on the urethral stump with an instrument designed to perform laparoscopic sutures. Among the advantages of this technique are easy and quick placement of the stitches, which can be placed to an exact depth and in the desired direction. We believe that future modifications of laparoscopic instruments will make oncologic pelvic surgery easier.
尿道膀胱或尿道回肠吻合术是根治性手术中的关键步骤，目的是实现良好的术后控尿且管腔无再狭窄。为更安全地重建尿道膀胱连接部，人们提出了许多手术操作和技术器械。我们通过实验，使用一个25通道的膀胱镜鞘作为引导，借助一种用于腹腔镜缝合的器械，在尿道残端精确放置缝线。该技术的优点包括缝线放置简便快捷，能够精确到所需深度并按期望方向放置。我们相信，腹腔镜器械未来的改进将使盆腔肿瘤手术更加简便。
