Department of Urology, University of Texas, Southwestern Medical Center, Dallas, USA.
BJU Int. 2010 Sep;106(6 Pt B):941-4. doi: 10.1111/j.1464-410X.2010.09674.x.
Hundreds of laparoendoscopic single-site surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES) cases have been reported in the literature across a broad span of urological procedures. Despite this, many hurdles to widespread adoption of these techniques exist, including technical challenges, such as decreased triangulation and unfamiliar viewing angles, and more philosophical issues, such as the necessity of demonstrating benefits of these techniques over conventional laparoscopy. Future research will seek to overcome these obstacles. This may be accomplished with further instrument development, including robotic instrumentation, as well as clinical studies evaluating outcomes of LESS/NOTES operations that may demonstrate advantages in these techniques.
文献中已经报道了数百例腹腔镜单部位手术（LESS）和经自然腔道内镜手术（NOTES），涵盖了广泛的泌尿外科手术。尽管如此，这些技术的广泛应用仍然存在许多障碍，包括技术挑战，如减少三角操作和不熟悉的视角，以及更哲学性的问题，如证明这些技术相对于传统腹腔镜的优势的必要性。未来的研究将寻求克服这些障碍。这可以通过进一步的器械开发来实现，包括机器人器械，以及评估 LESS/NOTES 手术结果的临床研究，这些研究可能会证明这些技术具有优势。
