Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.
Tech Coloproctol. 2010 Sep;14(3):253-5. doi: 10.1007/s10151-009-0545-8. Epub 2009 Dec 2.
Single-port laparoscopic surgery can be performed via one incision hidden in the umbilicus. Herein, we report a patient with a sigmoid colon cancer undergoing single-port laparoscopic sigmoid colectomy.
Laparoscopic single-port sigmoid colectomy through a 3-cm umbilical incision was performed on a patient with a diagnosis of sigmoid cancer. Patient was 54-year-old female with a body mass index of 25.8 kg/m(2). Preoperatively, a CAT scan in the metastasis evaluation did not show any lesion.
The total operative time was 198 min. Estimated blood loss was 300 ml. Length of hospital stay was 3 days. Patient had no intraoperative or postoperative complications. Examination of pathological specimen showed a specimen containing a circumferential lesion measuring 5 cm x 2.5 cm x 2.5 cm with adequate surgical margins (10 and 5.5 cm), and no regional lymph node metastases in 14 lymph nodes collected. Patient did not receive adjuvant chemotherapy after surgery. Colonoscopy performed 1 year after surgery showed no neoplasm or polyp identified. Abdomen and pelvis CT also found no evidence of recurrence or metastatic disease.
Single-port laparoscopic surgery may allow common benign procedures via an incision in the umbilicus. It can also be performed with good surgical and oncologic results in selected patients with a colorectal cancer.
单孔腹腔镜手术可通过隐藏在脐部的一个切口进行。本文报道了 1 例经脐单孔腹腔镜乙状结肠癌根治术患者的诊治经过。
对 1 例乙状结肠癌患者施行腹腔镜单孔乙状结肠切除术，手术切口位于脐部 3cm 处。患者为 54 岁女性，BMI 为 25.8kg/m²。术前转移评估 CT 扫描未见异常。
总手术时间为 198 分钟，术中出血量 300ml，术后住院时间为 3 天。患者无术中及术后并发症。术后病理标本检查显示，标本中存在一个 5cm×2.5cm×2.5cm 的环周病变，切缘足够（10cm 和 5.5cm），14 枚淋巴结中未见区域淋巴结转移。患者术后未接受辅助化疗。术后 1 年结肠镜检查未见肿瘤或息肉。腹部和骨盆 CT 也未发现复发或转移的证据。
单孔腹腔镜手术可通过脐部切口进行常见的良性手术，也可在选择的结直肠癌患者中获得良好的手术和肿瘤学结果。
