Zanetti G, Trinchieri A, Montanari E, Dell'Orto P, Rovera F, Taverna G L, Nespoli R
Department of Urology, University of Milan, Italy.
Ann Urol (Paris). 1995;29(2):97-100.
The advances made in laparoscopic surgery during the last five years have made possible the performance of a variety of bladder level procedures as suspension of the bladder neck, removal of bladder diverticulum and cystectomy. Laparoscopic bladder-neck suspension is purposed by different Authors as a minimally invasive procedure that can be provide efficacious results as like as open surgery, reducing post-operative disconfort. All different laparoscopic technique provide good results at short-term follow-up. A longer follow-up period is required for the evaluation of the effective efficacy of this treatment. In according with other authors, our experience with laparoscopic bladder diverticulectomy demonstrates the feasibility and the potentiality of this technique. Up to now this procedure has been employed in the treatment of diverticula involved in urinary infection or residual urine. At the beginning, laparoscopic cystectomy has been purposed in patients with begin disease; more recently, laparoscopy has been disease; more recently, laparoscopy has been employed for cystectomy in case of bladder cancer. The few cases described demonstrate that the technique is feasible but, until now, laparoscopic cystectomy has been reported just in female patients.
在过去五年中，腹腔镜手术取得的进展使得多种膀胱水平的手术得以开展，如膀胱颈悬吊术、膀胱憩室切除术和膀胱切除术。不同作者将腹腔镜膀胱颈悬吊术作为一种微创手术，其效果可与开放手术相媲美，且能减少术后不适。所有不同的腹腔镜技术在短期随访中均取得了良好效果。评估该治疗方法的实际疗效需要更长的随访期。与其他作者一致，我们进行腹腔镜膀胱憩室切除术的经验证明了该技术的可行性和潜力。到目前为止，该手术已用于治疗伴有泌尿系统感染或残余尿的憩室。起初，腹腔镜膀胱切除术针对的是早期疾病患者；最近，腹腔镜已用于膀胱癌患者的膀胱切除术。所描述的少数病例表明该技术是可行的，但到目前为止，腹腔镜膀胱切除术仅在女性患者中报道过。
