Rassweiler J, Stock C, Frede T, Seemann O, Alken P
Department of Urology, Klinikum Heilbronn, Germany.
J Endourol. 1998 Aug;12(4):325-33. doi: 10.1089/end.1998.12.325.
Laparoscopic or retroperitoneoscopic interventions such as nephrectomy or tumor nephrectomy call for the removal of large quantities of tissue, which can no longer be extracted via the relatively confined lumen of a cannula. For this purpose, a variety of organ retrieval systems have been designed and are commercially available with the aim of safe tissue retrieval. This paper summarizes the results of an experimental and clinical comparison of the most important organ entrapment systems suitable for endoscopic nephrectomy. The LapSacs was the first organ bag especially designed for laparoscopic nephrectomy. Despite various new modifications of this entrapment system, it still represents one of the best alternatives and has been used worldwide with success. However, because of its simplicity, it requires a certain laparoscopic expertise and involves a learning curve. Newly developed retrieval systems (i.e., LapBag, Extraction Bag, Endo-Catch) offer some advantages regarding the handling of the bag, which may be particularly useful during retroperitoneoscopic nephrectomy with a restricted working space. Retrieval systems (i.e., Endobag, Endopouch) with low resistance to tearing forces or permeability to tumor cells or bacteria (i.e., Espiner Bag) cannot be recommended for endoscopic nephrectomy.
腹腔镜或后腹腔镜手术，如肾切除术或肿瘤肾切除术，需要切除大量组织，而这些组织无法再通过套管相对狭窄的管腔取出。为此，人们设计了多种器官取出系统并已商业化，目的是安全地取出组织。本文总结了适用于内镜肾切除术的最重要的器官包裹系统的实验和临床比较结果。LapSacs是首个专门为腹腔镜肾切除术设计的器官袋。尽管该包裹系统有各种新的改进，但它仍然是最佳选择之一，并已在全球成功使用。然而，由于其操作简单，需要一定的腹腔镜专业技能，且存在学习曲线。新开发的取出系统（即LapBag、Extraction Bag、Endo-Catch）在袋子的操作方面具有一些优势，这在工作空间受限的后腹腔镜肾切除术中可能特别有用。对撕裂力抵抗力低或对肿瘤细胞或细菌有渗透性的取出系统（即Endobag、Endopouch，如Espiner Bag）不推荐用于内镜肾切除术。
