Ramalingam Manickam, Senthil Kallappan, Murugesan Anandan, Pai M G
Department of Urology, PSG Institute of Medical Sciences & Research, Peelamedu, Coimbatore 641004, India.
Diagn Ther Endosc. 2010;2010:598165. doi: 10.1155/2010/598165. Epub 2010 Feb 18.
Laparoendoscopic single site surgery (LESS) is a new avenue in laparoscopic urology. The main advantage is the enhanced cosmetic benefits of single hidden scar. Lately many papers are being published on various procedures done by LESS. Like conventional laparoscopy, this approach is likely to be used more widely and hence exposure to this field is essential. However, formal training in this technique is not widely available. Expensive ports and nonavailability of endotrainer may be the factors deterring the training. We have modified the standard laparoscopic endotrainer with improvised ports, to make it suitable for single port laparoscopic training. For the animal lab training improvised ports and low cost instruments were used. Thus the overall cost of the training in LESS was reduced, and better confidence levels were achieved prior to human applications.
经自然腔道内镜手术(LESS)是腹腔镜泌尿外科的一条新途径。其主要优点是单一隐藏瘢痕带来的美容效果更佳。最近,有许多关于LESS开展的各种手术的论文发表。与传统腹腔镜检查一样,这种方法可能会得到更广泛的应用,因此接触这一领域至关重要。然而,这种技术的正规培训并不广泛。昂贵的端口和内训练器的不可用可能是阻碍培训的因素。我们用简易端口对标准腹腔镜内训练器进行了改良,使其适用于单孔腹腔镜训练。在动物实验室训练中使用了简易端口和低成本器械。因此,LESS培训的总体成本降低了,并且在应用于人体之前获得了更高的信心水平。