| 摘要: |
| 目的 尝试应用经脐单孔多通道腹腔镜下放置腹透管,总结初步应用体会。方法 2009年5至8月对2例慢性肾功能衰竭且需行腹膜透析的患者行经脐单孔多通道腹腔镜下放置腹透管。结果 手术顺利完成,时间分别为15、25 min,出血约20 ml,未额外增加工作通道,术后1 d出院。结论 经脐单孔多通道腹腔镜下放置腹透管安全、有效,术后无明显手术瘢痕,美容效果良好。 |
| 关键词: 单孔腹腔镜手术 腹膜透析 留置导管 微创性外科手术 |
| DOI：10.3724/SP.J.1008.2011.01081 |
| 投稿时间：2011-07-10修订日期：2011-10-08 |
| 基金项目:国家自然科学基金面上项目(30872562). |
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| Single-site multi-channel transumbilical laparoscopic implantation of long-term peritoneal dialysis catheters: initial clinical experience with 2 cases |
| YANG Yin-hui△,HOU Jian-guo△,LIU Bing,WANG Lin-hui,XU Chuan-liang,SHEN Jian,SUN Ying-hao* |
(Department of Urology,Changhai Hospital,Second Military Medical University, Shanghai 200433, China
△Co-first authors.
*Corresponding author.) |
| Abstract: |
| Objective To present our initial experience of single-port multi-channel laparoscopic urologic surgery for the transumbilical laparoscopic implantation of long-term peritoneal dialysis catheters. Methods On May 17th and August 18th ,2009, 2 patients underwent single-port multi-channel laparoscopic surgery for chronic renal failure (CRF) due to benign arteriolonephrosclerosis and type 2 diabetes mellitus(DM). The flexible laparoscopic instrumentation with a homemade single port and multichannels was used for the transperitoneal approach. Results The 2 cases were completed without conversion to standard laparoscopic or laparotomy. The operation time for implantation was 15-25 min, and the estimated blood loss was about 20 ml. The patients were discharged 1 day after operation and were followed up for 6-8 months. Conclusion Single-port multi-channel laparoscopy is feasible, safe, and effective for transumbilical laparoscopic implantation of long-term peritoneal dialysis catheters, with the advantages of minimal incision and better cosmetic benefit. |
| Key words: laparoendoscopic single-site surgery peritoneal dialysis indwelling catheters mininmal invasive surgical procedures |
