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首页> 外文期刊>Arab Journal of Urology >Laparo-endoscopic single-site radical prostatectomy: Feasibility and technique
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Laparo-endoscopic single-site radical prostatectomy: Feasibility and technique

机译：腹腔镜内镜单点根治性前列腺切除术：可行性和技术

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Background As laparoscopy becomes a standard approach in many urological procedures, researchers strive to make minimally invasive surgery less invasive. Our objective was to apply recent innovations in equipment and surgical approaches to develop the technique and perform laparo-endoscopic single site radical prostatectomy (LESS-RP). Methods The technique for LESS-RP was derived by combining existing techniques of standard laparoscopic RP and developing techniques of urological LESS. This incorporated newly available low-profile trocars, flexible instruments and a flexible-tip laparoscope. The procedure was performed through a single 3-cm transverse infra-umbilical incision. LESS-RP was completed successfully via a single operative site without auxiliary needles or trocars. Perioperative variables and postoperative outcomes were recorded and measured. Results The operative time was 424min and the hospital stay was 10days because of a vesicourethral leak and ileus. The anastomotic leak resolved and the urethral catheter was removed at 4weeks after surgery. The final pathology showed negative margins and Gleason 3+4 pT2c prostatic adenocarcinoma. Conclusions LESS-RP is feasible by replicating laparoscopic RP techniques and incorporating the LESS technique with the advent of flexible-tip laparoscopes and flexible instruments. After a learning curve has been overcome, this should be further tested prospectively to compare oncological and functional outcomes with laparoscopic and robotic-assisted RP.
机译：背景技术由于腹腔镜检查已成为许多泌尿外科程序的标准方法，因此研究人员努力使微创手术的侵入性降低。我们的目标是应用设备和手术方法方面的最新创新来开发该技术并进行腹腔镜-内窥镜单点根治性前列腺切除术（LESS-RP）。方法将现有的标准腹腔镜RP技术与泌尿外科LESS的开发技术相结合，衍生出LESS-RP技术。它结合了新近推出的低矮型套管针，柔性仪器和柔性腹腔镜。该过程通过一个3 cm的横向脐下切口进行。 LESS-RP通过单个手术部位成功完成，没有辅助针或套管针。记录并测量围手术期变量和术后结果。结果由于膀胱尿道渗漏和肠梗阻，手术时间为424min，住院时间为10天。术后4周吻合口漏已解决，并取下了尿道导管。最终病理显示切缘阴性和格里森3 + 4 pT2c前列腺腺癌。结论通过复制腹腔镜RP技术并将LESS技术与柔性尖端腹腔镜和柔性仪器相结合，LESS-RP是可行的。克服学习曲线后，应进行前瞻性测试，以比较腹腔镜和机器人辅助RP的肿瘤学和功能结局。

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