Nguyen Ninh T, Hinojosa Marcelo W, Smith Brian R, Reavis Kevin M
Department of Surgery, University of California Irvine Medical Center, 333 City Blvd. West, Suite 850, Orange, CA 92868, USA.
Obes Surg. 2008 Dec;18(12):1628-31. doi: 10.1007/s11695-008-9705-6. Epub 2008 Oct 2.
Natural orifice transluminal endoscopic surgery (NOTES) has become an exciting area of surgical development. However, there are significant limitations to this surgical concept due to the lack of surgical expertise and appropriate flexible instrumentation. An alternative and competing technology to NOTES is single-access surgery. We present a novel surgical technique for placement of an adjustable gastric band utilizing a single laparoscopic incision which was ultimately used for implanting the subcutaneous access port. This new technique is called single laparoscopic incision transabdominal (SLIT) surgery which describes an advanced laparoscopic bariatric operation that can be performed through a tiny slit. The operative time was 55 min. There were no intraoperative complications. The patient did well postoperatively and was discharged on postoperative day 1. There were no postoperative complications at 1-month follow-up. Adjustable gastric banding performed through a single laparoscopic incision is technically feasible. The procedure was performed with mostly existing ports, laparoscopic instrumentations, and visualization platform. Advantages of SLIT surgery compared to conventional laparoscopic surgery will ultimately require further randomized clinical trials.
经自然腔道内镜手术（NOTES）已成为外科发展中一个令人兴奋的领域。然而，由于缺乏手术专业知识和合适的柔性器械，这一手术概念存在重大局限性。NOTES的一种替代且与之竞争的技术是单孔手术。我们展示了一种利用单个腹腔镜切口放置可调节胃束带的新型手术技术，该切口最终用于植入皮下接入端口。这种新技术称为经腹单腹腔镜切口（SLIT）手术，它描述了一种可通过微小切口进行的先进腹腔镜减肥手术。手术时间为55分钟。术中无并发症。患者术后恢复良好，术后第1天出院。1个月随访时无术后并发症。通过单个腹腔镜切口进行可调节胃束带术在技术上是可行的。该手术主要使用现有的端口、腹腔镜器械和可视化平台完成。与传统腹腔镜手术相比，SLIT手术的优势最终需要进一步的随机临床试验来验证。
