The safety and feasibility of the laparoscopic repair of intraperitoneal bladder rupture

doi:10.3877/cma.j.issn.1674-6899.2018.05.011

Abstract

Abstract:

Objective

To evaluate the efficacy and safety of laparoendoscopic in the repair of intraperitoneal bladder rupture.

Methods

22 patients who underwent laparoendoscopic single-site surgery (LESS) for intraperitoneal bladder rupture in the People′s Hospital of Xinjiang Uygur Autonomous Region were included prospectively in this study.LESS was performed using a domestic single-port device composed of an Alexis wound retractor and a surgical glove.The study on the safety and effectiveness of this method of treatment.

Results

Of the 22 patients, 18 were male, 4 were female. The mean age was (40.50±11.83)years. The mean body mass index was (24.19± 2.61)kg/m². The cause of rupture was trauma (n=21) or latrogenic injury (n=1). The mean bladder rupture diameter was (3.41±1.01)cm. LESS bladder rupture repair was completed effectively in all patients. The mean operative time was (89.05±11.29)minutes. The mean length of hospital stay was(2.91±0.53)days. Postoperatively, none of the patients required patient-controlled analgesia, and none developed major complications. The urethral Foley catheter was removed(7.68±2.08)days after surgery.

Conclusions

LESS repair of intraperitoneal bladder rupture, which involves a domestic single-port device, was a feasible and safe alternative to conventional laparoscopy in this case series.

Key words: Urinary bladder, Rupture, Laparoscopy, Surgical procedures, Minimally invasive

Kadeer Aihemati·, Tao Qiu, Zetian Tang, Mao Tang, Bin Wen, Ming Li. The safety and feasibility of the laparoscopic repair of intraperitoneal bladder rupture[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2018, 11(05): 306-309.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2018.05.011

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2018/V11/I05/306

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References 27

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第一作者	文献类型	例数	年龄(岁)	裂口(cm)	端口[个(mm)]	缝合[层(间断/连续)]	手术时间(min)	住院时间(d)	留置引流管时间(d)	留置导尿时间(d)	估计出血量(ml)
Mortelmans ^{[ 4 ]}	个案	1	30	2	非指定	单	非指定	非指定	非指定	非指定	非指定
Matsui^{[ 6 ]}	个案	1	61	1.5	3(12, 12, 12)	双(间断)	100	12	9	11	非指定
Parra ^{[ 17 ]}	个案	1	75	1～1.5	3	双(连续)	27	2	非指定	7	非指定
Kim^{[ 18 ]}	论著	6	47.3	6.37	3(12, 10, 5)	单(连续)	31～75	非指定	非指定	5	16.6
Kim ^{[ 23 ]}	个案	1	40	2	3(10, 5, 5)	单(连续)	非指定	非指定	非指定	14	非指定
Maheshwari^{[ 24 ]}	个案	1	45	2.5	3(10, 5, 5)	双(连续)	非指定	3	2	7	非指定
Goab^{[ 25 ]}	论著	4	66	0.5～1.5	3	单(间断)	25～60	3～5	非指定	7	0
Cottam^{[ 26 ]}	个案	1	25	4	3(5, 5, 5)	双	非指定	2	非指定	非指定	8
Wirth^{[ 27 ]}	个案	1	36	7～8	3(10, 10, 10)	单(连续)	95	11	非指定	10	非指定
邱涛	短篇论著	22	19～63	2～5	1	双(间断)	76～122	2～4	0	6～14	0

第一作者	文献类型	例数	年龄(岁)	裂口(cm)	端口[个(mm)]	缝合[层(间断/连续)]	手术时间(min)	住院时间(d)	留置引流管时间(d)	留置导尿时间(d)	估计出血量(ml)
Mortelmans ^{[ 4 ]}	个案	1	30	2	非指定	单	非指定	非指定	非指定	非指定	非指定
Matsui^{[ 6 ]}	个案	1	61	1.5	3(12, 12, 12)	双(间断)	100	12	9	11	非指定
Parra ^{[ 17 ]}	个案	1	75	1～1.5	3	双(连续)	27	2	非指定	7	非指定
Kim^{[ 18 ]}	论著	6	47.3	6.37	3(12, 10, 5)	单(连续)	31～75	非指定	非指定	5	16.6
Kim ^{[ 23 ]}	个案	1	40	2	3(10, 5, 5)	单(连续)	非指定	非指定	非指定	14	非指定
Maheshwari^{[ 24 ]}	个案	1	45	2.5	3(10, 5, 5)	双(连续)	非指定	3	2	7	非指定
Goab^{[ 25 ]}	论著	4	66	0.5～1.5	3	单(间断)	25～60	3～5	非指定	7	0
Cottam^{[ 26 ]}	个案	1	25	4	3(5, 5, 5)	双	非指定	2	非指定	非指定	8
Wirth^{[ 27 ]}	个案	1	36	7～8	3(10, 10, 10)	单(连续)	95	11	非指定	10	非指定
邱涛	短篇论著	22	19～63	2～5	1	双(间断)	76～122	2～4	0	6～14	0

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