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目的:探讨经脐单孔腹腔镜手术的技术可行性、应用特点及其安全性。方法:2009年8～10月共完成18例经脐单孔腹腔镜手术,包括肾上腺肿瘤3例;肾盂癌1例;肾癌1例;肾积水致肾萎缩2例;肾盂输尿管连接部狭窄5例;输尿管上段结石2例;输尿管膀胱连接部狭窄2例;精索静脉曲张2例。结果:全部手术均成功,无一例中转开放。1例肾上腺手术由于术中出血改为标准腹腔镜手术。平均手术时间为80(30～185)min。术中未出现器官损伤并发症。术后有2例患者脐部切口愈合不良,给予相应处理恢复良好。患者平均住院时间4(3～8)天。脐部手术切口愈合后,腹壁手术瘢痕不明显。结论:经脐单孔腹腔镜手术用于复杂性泌尿外科功能重建手术和毁损性手术安全而且有效。
Objective: To investigate the technical feasibility, application characteristics and safety of transumbilical laparoscopic transumbilical surgery. METHODS: From January to October 2009, 18 cases of single translumenal laparoscopic transabdominal surgery were performed, including 3 cases of adrenal tumor, 1 case of renal pelvic cancer, 1 case of renal cell carcinoma, 2 cases of renal atrophy caused by hydronephrosis, 7 cases of ureteropelvic junction stenosis 5 cases, 2 cases of upper ureteral calculi, 2 cases of stenosis of ureter and bladder junction and 2 cases of varicocele. Results: All the surgeries were successful. No one was transferred to the hospital. 1 case of adrenal surgery due to intraoperative bleeding to standard laparoscopic surgery. The average operation time was 80 (30 ~ 185) min. No organ damage occurred during operation. After surgery, 2 cases of umbilical incision healed poorly, given the appropriate treatment recovered well. Patients with an average hospital stay of 4 (3 ~ 8) days. Umbilical incision healing, abdominal surgery scar is not obvious. CONCLUSIONS: Transumbilical single-hole laparoscopic surgery is safe and effective for reconstructive and destructive surgery in complex urology.