Tracy Chad R, Raman Jay D, Cadeddu Jeffrey A, Rane Abhay
Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Nat Clin Pract Urol. 2008 Oct;5(10):561-8. doi: 10.1038/ncpuro1215.
One-port, single-incision laparoscopy is part of the natural development of minimally invasive surgery. Refinement and modification of laparoscopic instrumentation has resulted in a substantial increase in the use of laparoendoscopic single-site surgery (LESS) in urology over the past 2 years. Since the initial report of single-port nephrectomy in 2007, urologists have successfully performed various procedures with LESS, including partial nephrectomy, pyeloplasty, orchiectomy, orchiopexy, ureterolithotomy, sacrocolpopexy, renal biopsy, renal cryotherapy, and adrenalectomy. Further advancements in technology, such as magnetic anchoring and guidance systems, and robotic instrumentation, may allow broader application of this emerging surgical technique. Future research is required to determine the intraoperative and postoperative benefits of LESS in comparison with standard laparoscopy.
单孔单切口腹腔镜手术是微创手术自然发展的一部分。在过去两年中，腹腔镜器械的改进和改良使得泌尿外科腹腔镜单部位手术（LESS）的使用大幅增加。自2007年首次报道单孔肾切除术后，泌尿外科医生已成功使用LESS开展了各种手术，包括肾部分切除术、肾盂成形术、睾丸切除术、睾丸固定术、输尿管切开取石术、骶骨阴道固定术、肾活检、肾冷冻治疗和肾上腺切除术。技术的进一步发展，如磁锚定和引导系统以及机器人器械，可能会使这种新兴手术技术得到更广泛的应用。需要进一步的研究来确定LESS与标准腹腔镜手术相比在术中及术后的优势。
