Gill I S, Clayman R V, McDougall E M
Department of Surgery, University of Nebraska Medical Center, Omaha, USA.
J Urol. 1995 Oct;154(4):1275-94.
Since its introduction 5 years ago, almost all open urological procedures have been performed laparoscopically. We provide an in-depth critical review.
More than 200 articles on laparoscopic urology were reviewed. All laparoscopic procedures were divided into clinically established, clinically anecdotal and laboratory procedures. Comparisons between the laparoscopic and open method were carefully analyzed.
There were 5 clinically established procedures identified. In general, the laparoscopic procedures were as efficacious but less morbid and required less convalescence than their open counterparts; however, none was less costly.
Despite the time-consuming and costly nature of laparoscopy, the decreased morbidity and brief convalescence that are the hallmarks of minimally invasive surgery are evident and well documented. Further dissemination of laparoscopic skills through postgraduate urology training programs and during urology residency is of the utmost importance.
自5年前引入以来，几乎所有开放性泌尿外科手术都已通过腹腔镜进行。我们提供了一篇深入的批判性综述。
回顾了200多篇关于腹腔镜泌尿外科的文章。所有腹腔镜手术分为临床已确立的、临床轶事性的和实验室手术。仔细分析了腹腔镜手术与开放手术方法之间的比较。
确定了5种临床已确立的手术。一般来说，腹腔镜手术与开放手术同样有效，但并发症更少，康复时间更短；然而，没有一种腹腔镜手术成本更低。
尽管腹腔镜检查耗时且成本高昂，但微创手术的标志性特征——发病率降低和康复期缩短是明显且有充分记录的。通过研究生泌尿外科培训项目以及在泌尿外科住院医师培训期间进一步传播腹腔镜技术至关重要。
