Transperitoneal Subcostal Access for Urologic Laparoscopy: Experience of a Large Chinese Center

BioMed research international

Xuesong Li¹  Zhisong He¹  Dong Fang¹  Liqun Zhou¹  Lei Zhang¹  Lin Yao¹  Gengyan Xiong¹ 

[1] Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing 100034, China, bddyyy.com.cn

DOI  :  10.1155/2016/4062390

学科分类：基础医学

来源: Hindawi Publishing Corporation

【 摘 要 】

Objective. To present our experience of using transperitoneal subcostal access, Palmer’s point (3?cm below the left costal margin in the midclavicular line), and its right corresponding site, in urologic laparoscopy. Methods. We used Palmer’s point and the right corresponding site for initial access in 302 urologic surgeries (62 cases with prior surgeries). The record of these cases was reviewed. Results. Success rate of initial access is 99.4%, and complication rate of puncturing is only 3.4% with no serious complication. In the cases with prior surgeries, there were only two cases with access complication on the right side (minor laceration of liver). For people with BMI more than 30?kg/m2 (12, 3.9%), the success rate was also 100 percent. Conclusions. Palmer’s point and the corresponding right location are feasible, effective, and safe for initial access in urologic laparoscopic surgeries. This entry technique should be used routinely in urologic laparoscopic surgeries.

【 授权许可】

CC BY