计算机辅助腹腔镜输尿管气动再植术。科恩:猪模型的初步经验。

APMIS. Supplementum Pub Date : 2003-01-01
Lars Henning Olsen, Dorthe Deding, Chung Kwong Yeung, Troels Munch Jørgensen
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引用次数: 0

摘要

目的探讨一种新型腹腔镜Cohen跨三角输尿管再植术应用远端外科设备治疗膀胱输尿管反流(VUR)的可行性。采用经尿道输尿管开膛术诱导8只母猪发生VUR。三个月后,膀胱造影证实了反流。跨三角输尿管再植术。Cohen采用达芬奇远程手术系统,通过腹腔镜进入膀胱。12毫米的摄像头端口位于脐带下方,两个8毫米的机器人系统工作端口位于直肌外侧,另外一个端口用于在摄像头和右侧工作端口之间提供辅助。3个月后通过新的膀胱造影评估结果。单次再植的手术时间从45到90分钟不等。所有猪的反流在手术后都消失了,其中两只动物出现了术后肝疝。腹腔镜经膀胱输尿管再植入术在少数病例中是可行的方法。机器人设备的优点是可以更好地进入输尿管粘膜下隧道和膀胱内缝合吻合,手术时间短,成功率与开放手术相似。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Computer assisted laparoscopic pneumovesical ureter reimplantation a.m. Cohen: initial experience in a pig model.

To assess the feasibility of a new variant of laparoscopic Cohen cross-trigonal ureter reimplantation in vesico-ureteral reflux (VUR) using telesurgical equipment. VUR was induced in 8 female pigs by transurethral unroofing of the ureteric orifices. Three months later the reflux was verified by a cystography. A cross-trigonal ureter reimplantation a.m. Cohen was performed by laparoscopic access to the bladder using the da Vinci telesurgical system. The 12 mm camera port was placed below the umbilicus, two 8 mm working ports for the robotic system were placed lateral to the rectus muscles and an additional port for assistance between camera and right working port. The outcome was assessed 3 months later by a new cystography. The operative time for a single reimplantation varied from 45 to 90 minutes. In all pigs the reflux disappeared after the procedure, which was complicated by a postoperative port hernia in two animals. Laparoscopic transvesical ureter reimplantation using telesurgical equipment is a feasible method in the few cases this procedure is indicated. The advantage of the robotic equipment is the better access to submucosal tunneling of the ureter and the intravesical suturing of the anastomosis indicated by shorter operative time and success rates similar to the open procedure.

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