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自1991年Calyman[1]报告第1例腹腔肾切除术以来,腹腔镜在泌尿外科领域的应用日益广泛,越来越多的复杂手术可以通过这一微创技术完成。肠道在泌尿外科手术中的应用已相当普遍。过去,这些手术通常要作很长的正中切口。而现在许多手术,如可控性尿流输出道、顺行可控灌肠术(ACE)、回肠膀胱术和膀胱扩大术等,已能通过腹腔镜辅助或单用腹腔镜顺利完成。腹腔镜手术较传统的开放手术创伤小、术后恢复快,且具有美容效果。现将肠管在腹腔镜泌尿外科应用的近期成果作一综述。
Since Calyman [1] reported the first case of celiac nephrectomy in 1991, laparoscopy has become more and more popular in the field of urology. More and more complicated surgery can be accomplished through this minimally invasive technique. The use of gut in urological surgery has become quite widespread. In the past, these procedures usually required a long median incision. Nowadays, many operations, such as controlled urinary flow outlet, anterograde enema control (ACE), ileal bladder surgery and bladder augmentation, have been successfully completed by laparoscopy or single laparoscopy. Laparoscopic surgery than the traditional open surgery trauma, postoperative recovery fast, and has a cosmetic effect. The recent results of intestinal application in laparoscopic urology are reviewed.