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中华腔镜泌尿外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (05) : 419 -424. doi: 10.3877/cma.j.issn.1674-3253.2024.05.001

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免气腹腔镜技术在泌尿外科的应用
涂门江1, 王祥卫2,()   
  1. 1. 510630 广州,暨南大学医学院
    2. 524001 湛江,广东医科大学附属医院泌尿外科
  • 收稿日期:2024-05-23 出版日期:2024-10-01
  • 通信作者: 王祥卫
  • 基金资助:
    国家重点研发计划重点专项(2020YFA0908800); 广东省自然科学基金面上项目(2024A1515010342); 广东医科大学2024年冲补强专项资金(4SG24016G); 广东医科大学附属医院高层次人才启动基金(1035Z20230005)

Application of gasless laparoscopic technique in Urology

Menjiang Tu1, Xiangwei Wang2,()   

  1. 1. Jinan University School of Medicine, Guangzhou 510630, China
    2. Department of Urology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China
  • Received:2024-05-23 Published:2024-10-01
  • Corresponding author: Xiangwei Wang
引用本文:

涂门江, 王祥卫. 免气腹腔镜技术在泌尿外科的应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(05): 419-424.

Menjiang Tu, Xiangwei Wang. Application of gasless laparoscopic technique in Urology[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2024, 18(05): 419-424.

传统气腹腹腔镜是目前广泛应用在泌尿外科腹腔手术的技术。但二氧化碳(CO2)和气腹压力对机体的影响限制了其在合并心肺功能障碍、高龄、疝气、妊娠等临床特殊患者中的应用。免气腹腔镜技术通过一系列机械装置提拉或悬吊腹壁,提供足够的腹腔内手术空间,达到无需气腹而进行腔镜操作目的,同时避免了CO2气腹潜在的麻醉和手术风险,扩大了腔镜手术适应证,是腹腔镜手术的重要补充和新术式。未来,随着新器械研发和新技术融合,免气腹腔镜技术的优势将会得以更好地发挥。本文将阐述免气腹技术在泌尿外科领域的发展和应用现状。

Conventional laparoscopy has been widely utilized in Urology. However, its application in certain patient populations, such as those with cardiopulmonary compromise, the elderly, individuals with hernias, or pregnant patients, is limited due to the adverse effects of carbon dioxide (CO2) pneumoperitoneum. Gasless laparoscopic techniques, achieved by elevating or suspending the abdominal wall using mechanical devices, offer an alternative approach by creating a working space without the need to insufflate the abdomen with CO2. This technique mitigates the potential risks associated with CO2 pneumoperitoneum and expands the scope of patients suitable for endoscopic surgery, thus serving as a significant complement to traditional laparoscopic procedures. Advancements in instruments and technology integration have further enhanced the advantages of gasless laparoscopic techniques. This article provides a comprehensive review of the development and application of pneumoperitoneum-free techniques in Urology.

图1 免气腹腹腔镜前列腺癌根治术手术平台建立注:a为三孔免气腹腹腔镜前列腺癌根治术;b为单孔免气腹腹腔镜前列腺癌根治术
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