Allaf Mohamad E, Bhayani Sam B, Kavoussi Louis R
The Brady Urological Institute, Johns Hopkins Medical Institutions, 600 North Wolfe Street, Jefferson Street Building, Suite #161, Baltimore, MD 21287, USA.
Curr Urol Rep. 2004 Apr;5(2):87-92. doi: 10.1007/s11934-004-0019-5.
Laparoscopic surgery has become a preferred treatment option for the management of upper urinary tract pathology. Large series of complex urologic operations have been published, with favorable outcomes. Although the early experience with urologic laparoscopy consisted almost exclusively of transperitoneal procedures, some surgeons prefer the retroperitoneal approach. The debate of retroperitoneal versus transperitoneal laparoscopy for upper tract pathology is complex because comparative and randomized studies are lacking. In contrast to the retroperitoneal approach, transperitoneal laparoscopic procedures allow for a larger working space, adequate maneuverability, and the presence of familiar anatomic landmarks. This article highlights our experiences and approaches to major laparoscopic upper urinary tract surgery for benign and malignant conditions. A summary of the published literature as it pertains to the transperitoneal approach also is presented.
腹腔镜手术已成为治疗上尿路疾病的首选治疗方法。大量复杂的泌尿外科手术系列报道已发表，结果良好。尽管泌尿外科腹腔镜手术的早期经验几乎完全是经腹腔手术，但一些外科医生更喜欢经腹膜后途径。由于缺乏比较性和随机性研究，经腹膜后与经腹腔腹腔镜手术治疗上尿路疾病的争论很复杂。与经腹膜后途径相比，经腹腔腹腔镜手术可提供更大的操作空间、足够的可操作性以及熟悉的解剖标志。本文重点介绍了我们在良性和恶性疾病的主要腹腔镜上尿路手术中的经验和方法。还介绍了与经腹腔途径相关的已发表文献的总结。
