Coptcoat M J, Rassweiler J J
Department of Urology, Kings of College Hospital, London.
Urologe A. 1996 May;35(3):226-32.
Laparoscopy has followed the typical phases in the development of any new operative technique. We have now begun to realize its limitation and are beginning to standardize the procedures and specify their indications. Since laparoscopy predominantly reduces the trauma of access, the development of a total operative trauma score has assisted us in determining the impact of specific laparoscopic procedures compared to their open alternatives. Laparoscopy is responsible for less blood loss, less postoperative pain, a shorter hospital stay and a very small scar, all of which accounts for its popularity among patients. A rational combination of laparoscopy, endoscopy and open surgery to treat urological diseases should be developed in the future.
腹腔镜检查经历了任何新手术技术发展的典型阶段。我们现在已经开始认识到它的局限性，并开始规范手术程序并明确其适应证。由于腹腔镜检查主要减少了手术入路的创伤，总手术创伤评分的发展有助于我们确定特定腹腔镜手术与其开放替代手术相比的影响。腹腔镜检查导致的失血更少术后疼痛更轻、住院时间更短且疤痕极小，所有这些因素都说明了它在患者中的受欢迎程度。未来应制定腹腔镜检查、内镜检查和开放手术治疗泌尿系统疾病的合理组合。
