Zhang Lei, Fang Dong, Li Xuesong, Yao Lin, Xiong Gengyan, He Zhisong, Zhou Liqun
Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing 100034, China.
Biomed Res Int. 2016;2016:4062390. doi: 10.1155/2016/4062390. Epub 2016 Dec 15.
. To present our experience of using transperitoneal subcostal access, Palmer's point (3 cm below the left costal margin in the midclavicular line), and its right corresponding site, in urologic laparoscopy. . We used Palmer's point and the right corresponding site for initial access in 302 urologic surgeries (62 cases with prior surgeries). The record of these cases was reviewed. . Success rate of initial access is 99.4%, and complication rate of puncturing is only 3.4% with no serious complication. In the cases with prior surgeries, there were only two cases with access complication on the right side (minor laceration of liver). For people with BMI more than 30 kg/m (12, 3.9%), the success rate was also 100 percent. . Palmer's point and the corresponding right location are feasible, effective, and safe for initial access in urologic laparoscopic surgeries. This entry technique should be used routinely in urologic laparoscopic surgeries.
介绍我们在泌尿外科腹腔镜手术中使用经腹肋下入路、帕尔默点（左锁骨中线肋缘下3厘米）及其右侧对应部位的经验。我们在302例泌尿外科手术（62例有既往手术史）中使用帕尔默点及其右侧对应部位进行初始入路。回顾了这些病例的记录。初始入路成功率为99.4%，穿刺并发症发生率仅为3.4%，无严重并发症。在有既往手术史的病例中，右侧仅2例出现入路并发症（肝脏轻度撕裂）。对于体重指数超过30kg/m²的患者（12例，3.9%），成功率也为100%。帕尔默点及其右侧对应部位在泌尿外科腹腔镜手术初始入路中可行、有效且安全。这种入路技术应在泌尿外科腹腔镜手术中常规使用。
