Coptcoat M J
Kings College Hospital, Denmark Hill, London, England.
Ann Urol (Paris). 1995;29(2):117-21.
Laparoscopy has not changed urological techniques as radically as could be supposed, as only 17% of urological techniques are performed by laparoscopy instead of the predicted 70%. However, this limited proportion corresponds to 30% of urological operating time. The author proposes a combination of open surgery and laparoscopy in certain cases. Laparoscopy is responsible for lower blood loss, less postoperative pain, a shorter hospital stay and a very small scar which account for its popularity among patients. A rational combination of laparoscopy, endoscopy and open surgery to treat urological diseases should be developed in the future.
腹腔镜检查对泌尿外科技术的改变并没有达到预期的程度，因为只有17%的泌尿外科手术是通过腹腔镜进行的，而不是预期的70%。然而，这一有限的比例却占了泌尿外科手术时间的30%。作者建议在某些情况下将开放手术和腹腔镜检查相结合。腹腔镜手术导致的失血量更少、术后疼痛更轻、住院时间更短且疤痕极小，这些因素使其在患者中颇受欢迎。未来应发展腹腔镜检查、内镜检查和开放手术治疗泌尿系统疾病的合理组合。
