Gaunay Geoffrey S, Elsamra Sammy E, Richstone Lee
1 The Smith Institute for Urology, Hofstra University School of Medicine , Northwell Health, New Hyde Park, New York.
2 Division of Urology, Rutgers Robert Wood Johnson Medical School , New Brunswick, New Jersey.
J Endourol. 2016 Aug;30(8):833-43. doi: 10.1089/end.2016.0128. Epub 2016 Jun 17.
In recent years, laparoscopy and robot-assisted procedures have become more commonplace in urology. Incorporation of these techniques into clinical practice requires extensive knowledge of the surgical approaches and complex instrumentation unique to minimally invasive surgery. In this review, focus will be directed to laparoscopic trocars including differing subtypes, placement in select urologic procedures, and proper use with emphasis on the avoidance of complications. Differing methods for the development of pneumoperitoneum and the associated risks of each will be discussed. The aim of this article is to provide a complete review of laparoscopic trocar use for the practicing urologist.
近年来，腹腔镜检查和机器人辅助手术在泌尿外科中变得越来越普遍。将这些技术纳入临床实践需要对微创手术特有的手术入路和复杂器械有广泛的了解。在这篇综述中，重点将放在腹腔镜套管针上，包括不同的亚型、在特定泌尿外科手术中的放置以及正确使用，同时强调避免并发症。还将讨论建立气腹的不同方法及其各自相关的风险。本文的目的是为泌尿外科执业医师提供一份关于腹腔镜套管针使用的全面综述。
