Department of General Surgery, SJOG Hospital, A-5010 Salzburg, Austria.
Colorectal Dis. 2010 Jan;12(1):66-70. doi: 10.1111/j.1463-1318.2009.01894.x.
On the way to 'no-scar' techniques we developed a novel method for colorectal resection utilizing three intraumbilical trocars which results in a nonvisible postoperative scar.
Two female patients (Age: 56a, 42a) underwent laparoscopic colorectal resection for diverticulitis and infiltrating endometriosis of the rectosigmoid colon, respectively. The entire operation was carried out transumbilically following the standardized principles of colorectal resection.
The operative time was 110 and 180 min, respectively. No intraoperative adverse events or significant perioperative complication was noticed. The specimen measured 22 and 18 cm in length respectively. Estimated blood loss was minimal in both cases. Oral diet was resumed on postoperative day one. Patients were discharged on postoperative day 7 and day 6, respectively. At follow-up, patients presented with an optimal cosmetic result without apparent scarring.
For the first time, a novel laparoscopic technique for sigmoid colon resection utilizing a single intraumbilical approach is presented. This new method allows further reduction of the surgical trauma and obviates any visible scar.
在追求“无疤”技术的过程中，我们开发了一种利用三个脐内套管进行结直肠切除术的新方法，可实现术后无可见疤痕。
两名女性患者（年龄：56 岁，42 岁）分别因憩室炎和直肠乙状结肠浸润性子宫内膜异位症接受腹腔镜结直肠切除术。整个手术均按照结直肠切除术的标准原则经脐内进行。
手术时间分别为 110 分钟和 180 分钟。术中无不良事件或明显围手术期并发症。标本长度分别为 22 厘米和 18 厘米。出血量均较少。术后第一天开始口服饮食。患者分别于术后第 7 天和第 6 天出院。随访时，患者均呈现出理想的美容效果，无明显疤痕。
首次提出了一种利用单一切口经脐内途径进行乙状结肠切除术的新腹腔镜技术。这种新方法可进一步减少手术创伤，避免任何可见的疤痕。
