Gill I S
Section of Laparoscopic and Minimally Invasive Surgery, Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Urol Clin North Am. 2001 Feb;28(1):71-83. doi: 10.1016/s0094-0143(01)80009-4.
Technological miniaturization is an emerging trend that encompasses virtually all surgical subspecialties. Minimization of surgical trauma while maximizing surgical cure through gradual progression from maximally invasive to minimally invasive to ultimately noninvasive technologies must be the goal. Needlescopic techniques represent a natural evolution and sophistication of conventional laparoscopy. At the author's center, needlescopic techniques have been used to particular advantage in four specific clinical applications: adrenalectomy, pediatric orchiopexy, detaching the bladder cuff during laparoscopic nephroureterectomy, and as an adjunctive needlescopic port for retraction purposes during conventional laparoscopic surgery. Given the urologist's natural facility with small-diameter endoscopes, the specialty is uniquely positioned to take a leadership position in this emerging field. Increased experience and careful comparisons with conventional laparoscopy will determine the true role of needlescopic technology in the armamentarium of the urologic surgeon.
技术微型化是一种新兴趋势，几乎涵盖了所有外科亚专业。通过从最大侵入性技术逐步发展到微创技术，最终发展到无创技术，在最大限度减少手术创伤的同时实现手术治愈最大化，这必须成为目标。针状腹腔镜技术是传统腹腔镜技术的自然演进和精细化发展。在作者所在的中心，针状腹腔镜技术已在四种特定临床应用中发挥了独特优势：肾上腺切除术、小儿睾丸固定术、腹腔镜肾输尿管切除术中分离膀胱袖口，以及在传统腹腔镜手术中作为用于牵拉目的的辅助针状腹腔镜端口。鉴于泌尿外科医生对小直径内窥镜操作自如，该专业在这一新兴领域具有独特的领导地位。更多的经验以及与传统腹腔镜技术的仔细比较，将决定针状腹腔镜技术在泌尿外科医生的手术器械库中的真正作用。
