Shi Lixin, Cai Wei, Dong Juan, Zhang Xu, Gao Jiangping, Song Tao, Sun Shengkun, Zu Qiang, Wang Wei
Department of Urology, China People's Liberation Army General Hospital, Beijing, PR China.
Urol Int. 2014;92(1):83-8. doi: 10.1159/000350937. Epub 2013 Jun 28.
To investigate the use of a flexible instrument platform in performing single-port laparoscopic retroperitoneal urologic surgeries and to verify the safety and feasibility of these surgeries.
The homemade instrument platform consisted of two control loops and a powder-free surgical glove to form multichannels. 56 patients underwent this kind of single-port surgery for different urologic diseases, including radical nephrectomy in 31 patients, nephroureterectomy in 7 patients, partial nephrectomy in 8 patients, living donor nephrectomy in 4 patients, adrenalectomy in 3 patients, renal cyst surgery in 2 patients and ureterolithotomy in 1 patient.
All surgeries were completed successfully with no switch to conventional laparoscopic or open surgery. The mean hospital stay was 13.13 days (range 6-36). All patients were satisfied without major complications.
Retroperitoneal laparoendoscopic single-site surgery using our cost-effective homemade instrument platform appears to be a feasible and safe surgical strategy to perform retroperitoneal laparoscopic urologic surgery.
探讨在单孔腹腔镜泌尿外科手术中使用柔性器械平台，并验证这些手术的安全性和可行性。
自制器械平台由两个控制环和一副无粉手术手套组成，以形成多通道。56例患者因不同的泌尿系统疾病接受了此类单孔手术，其中31例行根治性肾切除术，7例行肾输尿管切除术，8例行部分肾切除术，4例行活体供肾切除术，3例行肾上腺切除术，2例行肾囊肿手术，1例行输尿管切开取石术。
所有手术均成功完成，未转为传统腹腔镜手术或开放手术。平均住院时间为13.13天（范围6 - 36天）。所有患者均满意，无重大并发症。
使用我们经济高效的自制器械平台进行腹膜后腹腔镜单部位手术似乎是一种可行且安全的手术策略，可用于实施腹膜后腹腔镜泌尿外科手术。
