Knapp P M, Siegel Y I, Lingeman J E
Department of Urology, Methodist Hospital of Indiana, Indianapolis.
J Endourol. 1994 Aug;8(4):279-84. doi: 10.1089/end.1994.8.279.
Recent advances in laparoscopic surgery have allowed urologists to perform laparoscopic bladder suspension; however, laparoscopic suturing techniques have a steep learning curve and make the procedure more difficult and time consuming. We describe a new technique that combines extraperitoneal laparoscopic bladder neck mobilization through a single port with the ease of a needle suspension urethropexy in order to avoid the need for vaginal incisions and the use of laparoscopic suturing techniques. The procedure has been performed in four patients, all of whom are continent and voiding with complete bladder emptying. Postoperative pain was minimal, allowing most patients to be discharged the day after surgery. In the future, the procedure may be performed on an outpatient basis.
腹腔镜手术的最新进展使泌尿外科医生能够进行腹腔镜膀胱悬吊术；然而，腹腔镜缝合技术学习曲线较陡，会使手术更加困难且耗时。我们描述了一种新技术，该技术通过单孔进行腹膜外腹腔镜膀胱颈游离，并结合简便的针式悬吊尿道固定术，以避免经阴道切口及使用腹腔镜缝合技术。该手术已在4例患者中实施，所有患者均控尿良好，膀胱排空完全。术后疼痛轻微，多数患者术后次日即可出院。未来，该手术可能在门诊进行。
