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Experiencia inicial en prostatectomía radical laparoscópica con el dispositivo de acceso laparoscópico umbilical Single-Incision Laparoscopic Surgery Port

机译:使用单切口腹腔镜手术端口腹腔镜脐带入路设备进行腹腔镜前列腺癌根治术的初步经验

摘要

Since 2007, various urological procedures have been performed with laparoendoscopic single-site surgery (LESS surgery), including nephrectomy, pyeloplasty, simple prostatectomy and, with the refinement of laparoscopic instrumentation, radical prostatectomy. This paper reports our initial experience in radical prostatectomy using the SILS Port from Covidiem and two lateral 5-mm trocars for triangulation. The SILS Port allows for accurate, simple insertion through a Hadson incision. The flexible port accommodates three 5-mm cannulas or two 5-mm cannulas and a 12-mm port for easier instrument exchange through a single incision. This approach decreases morbidity from bleeding, hernia and/or internal organ damage and improves cosmetic. One-port single-incision laparoscopy is part of the natural development of minimally invasive surgery. Future research is required to assess the intraoperative and postoperative benefits of LESS surgery as compared to standard laparoscopy.
机译:自2007年以来,腹腔镜内窥镜单点手术(LESS手术)已进行了各种泌尿外科手术,包括肾切除术,肾盂成形术,简单的前列腺切除术,并且随着腹腔镜器械的改进,进行了根治性前列腺切除术。本文报道了我们使用Covidiem的SILS Port和两个侧面的5mm套管针进行三角测量的前列腺癌根治术的初步经验。 SILS端口允许通过Hadson切口准确,简单地插入。灵活的端口可容纳三个5毫米插管或两个5毫米插管以及一个12毫米端口,可通过单个切口轻松更换器械。这种方法减少了出血,疝气和/或内脏器官损害的发病率,并改善了美容效果。单端口单切口腹腔镜检查是微创手术自然发展的一部分。与标准腹腔镜检查相比,需要进行进一步的研究以评估LESS手术的术中和术后获益。

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