Oshinsky G S, Badlani G H, Smith A D
Department of Urology, Long Island Jewish Medical Center, New Hyde Park, New York.
Arch Esp Urol. 1993 Sep;46(7):567-75.
Minimal access surgery has emerged as an acceptable means of performing therapeutic and diagnostic surgical procedures. Although the gynecologist has utilized the laparoscope for several decades, only recently has laparoscopic surgery gained increased acceptance in the general surgical and urologic community. The number of laparoscopic procedures being performed routinely is now extensive and growing rapidly. It appears that the critical step in performing laparoscopic surgery is the establishment of pneumoperitoneum and the placement of the trocars. This initial part of the procedure when performed properly ensures safe and reliable access allowing the procedure to commence. Difficulties with this part of the procedure may preclude the operative procedure and more importantly may result in potentially severe injuries. Therefore a detailed discussion of the method of performing laparoscopic entry and exit will provide the urologist with the essentials to perform safe and successful laparoscopy.
微创外科手术已成为实施治疗性和诊断性外科手术的一种可接受的方式。尽管妇科医生使用腹腔镜已有数十年，但直到最近腹腔镜手术才在普通外科和泌尿外科领域得到越来越多的认可。目前常规进行的腹腔镜手术数量众多且增长迅速。看来实施腹腔镜手术的关键步骤是建立气腹和放置套管针。手术的这一初始部分如果操作得当，可确保安全可靠的入路，使手术得以开始。这部分手术操作遇到困难可能会妨碍手术进行，更重要的是可能导致潜在的严重损伤。因此，详细讨论腹腔镜进出操作方法将为泌尿外科医生提供进行安全、成功腹腔镜手术的要点。
