Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Int J Urol. 2010 Mar;17(3):289-92. doi: 10.1111/j.1442-2042.2010.02470.x.
The objective of this paper is to report our initial experience in laparoendoscopic single-site surgery (LESS). One patient underwent LESS varicocelectomy and another patient underwent LESS pyeloplasty. The Triport was inserted into the abdomen through the umbilical incision. In the varicocelectomy, testicular vessels were coagulated by a vessel-sealing system, and transected. In the pyeloplasty, a 2-mm needlescopic port was added to facilitate the procedure, and a dismembered procedure was performed. Total operative duration was 60 min for the varicocelectomy and 240 min for the pyeloplasty. Blood loss was minimal and no perioperative complications occurred. At the 3-month follow up, no postoperative complications were observed and there was no complaint of pain. LESS varicocelectomy and pyeloplasty were successfully performed with excellent cosmetic results and no complications.
本文旨在报告我们在腹腔镜单部位手术（LESS）方面的初步经验。一名患者接受了 LESS 精索静脉曲张结扎术，另一名患者接受了 LESS 肾盂成形术。Triport 通过脐部切口插入腹部。在精索静脉曲张结扎术中，使用血管密封系统对睾丸血管进行凝固和切断。在肾盂成形术中，增加了一个 2mm 的针腔端口以方便操作，并进行了离断式手术。精索静脉曲张结扎术的总手术时间为 60 分钟，肾盂成形术的总手术时间为 240 分钟。术中出血少，无围手术期并发症。术后 3 个月随访时，未观察到术后并发症，也无疼痛主诉。LESS 精索静脉曲张结扎术和肾盂成形术均成功完成，美容效果极佳，无并发症。
