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腹腔镜或套管针造成的膀胱穿孔经保留尿管1～2周即可自愈,但较大的损伤则需泌尿科会诊予以修复,不仅使病人遭受选择腹腔镜检本欲避免的开腹术,还可能造成医疗纠纷。作者报告1例治疗性膀胱镜损伤膀胱经腹腔镜修复的病例,此种镜下缝合技术有可能扩大腹腔镜手术的指征(如卵巢囊肿切除后的卵巢修复,输卵管造口术后的管口外翻、输卵管妊娠清除后的输卵管切开缝合及大网膜切除术等)和增强腹腔镜医师不开腹进行更困难手术的信心,也可能避免医疗诉讼。
Bladder perforation caused by laparoscopy or trocar can be healed by preserving the catheter for 1 to 2 weeks, but the larger injury is required to be repaired by urological consultation, which not only causes the patient to suffer laparotomy, Surgery may also cause medical disputes. The authors report 1 case of bladder cyst by laparoscopic repair of cystoscope injury, such microscopic suture technique may expand the indications for laparoscopic surgery (such as ovarian cysts after ovarian cyst resection, tubal orifice after otoplasty Turn over, tubal incision suture removal and omental resection after tubal pregnancy, etc.) and to enhance the confidence of laparoscopists not to open up to more difficult surgery, medical litigation may also be avoided.