泌尿外科腹腔镜单孔手术：并发症评估
Laparoendoscopic single-site surgery in urology: Evaluation of complications.
作者信息
Abdel-Karim Aly M, Zaytoun Osama
机构信息
Urology Department, Alexandria University, Alexandria, Egypt.
出版信息
Arab J Urol. 2012 Mar;10(1):89-96. doi: 10.1016/j.aju.2011.12.006. Epub 2012 Feb 9.
OBJECTIVE
To comprehensively review current reports on the complications of laparoendoscopic single-site surgery (LESS), introduced recently into urology as an option for treating various urological pathologies.
METHODS
We reviewed previous reports to August 2011 using Medline, focusing on LESS in urology, with special interest in the complications, evaluating those during and after surgery, as well as conversions to reduced-port laparoscopy, conventional laparoscopy and open surgery.
RESULTS
There are increasing reports of LESS in urology, with expanding indications. Complication rates both during and after surgery are low and related mostly to the technical difficulty and dexterity with the currently available instruments. Overall, intraoperative complications were reported by 11 published studies, while postoperative complications were reported by 15. Although the overall conversion rates to open surgery and conventional laparoscopy were low, the incidence of reduced-port laparoscopy was significantly higher.
CONCLUSIONS
Although there are expanding indications for LESS in urology, the risk of complications is low. This might be related to the fact that LESS is still restricted to experienced laparoscopic surgeons, and to the criteria for selecting patients.
目的
全面回顾目前有关腹腔镜单切口手术（LESS）并发症的报道，该手术最近作为治疗各种泌尿外科疾病的一种选择被引入泌尿外科领域。
方法
我们使用Medline检索截至2011年8月的既往报道，重点关注泌尿外科的LESS，特别关注并发症，评估手术期间及术后的并发症，以及转为减少切口腹腔镜手术、传统腹腔镜手术和开放手术的情况。
结果
泌尿外科领域有关LESS的报道日益增多，适应证不断扩大。手术期间及术后的并发症发生率较低，主要与当前可用器械的技术难度和操作灵活性有关。总体而言，11项已发表的研究报道了术中并发症，15项报道了术后并发症。虽然转为开放手术和传统腹腔镜手术的总体转化率较低，但转为减少切口腹腔镜手术的发生率明显更高。
结论
虽然泌尿外科中LESS的适应证不断扩大，但其并发症风险较低。这可能与LESS仍仅限于经验丰富的腹腔镜外科医生以及患者选择标准有关。
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