Glickman Urological and Kidney Institute, Cleveland Clinic, OH 44195, USA.
BJU Int. 2010 Sep;106(6 Pt B):923-7. doi: 10.1111/j.1464-410X.2010.09671.x.
Laparoscopic surgery is frequently used in urology and the introduction of the da Vinci surgical system has served to further increase the demand for these procedures. Yet, laparoscopy is not without its drawbacks including port site complications, such as bleeding, hernia, internal organ damage and scarring. To further decrease morbidity of standard laparoscopy, newer techniques such as laparoendoscopic single-site surgery (LESS) are currently being investigated. LESS is technically challenging and reduces instrument triangulation and robust retraction, and is associated with a steep learning curve. To help overcome current limitations we have introduced the da Vinci surgical system to LESS and report our experience with robotic laparoendoscopic single-site surgery.
腹腔镜手术在泌尿科中经常使用，达芬奇手术系统的引入进一步增加了对这些手术的需求。然而，腹腔镜手术并非没有缺点，包括端口部位并发症，如出血、疝、内部器官损伤和疤痕。为了进一步降低标准腹腔镜手术的发病率，目前正在研究新的技术，如经腹腔镜单部位手术（LESS）。LESS 技术具有挑战性，减少了器械的三角测量和有力的牵引，并且与陡峭的学习曲线相关。为了克服当前的局限性，我们将达芬奇手术系统引入 LESS，并报告我们在机器人腹腔镜单部位手术方面的经验。
