Saber Alan A, El-Ghazaly Tarek H
Michigan State University, Kalamazoo Center for Medical Studies, Kalamazoo, MI 49008, USA.
Surg Laparosc Endosc Percutan Tech. 2009 Dec;19(6):428-30. doi: 10.1097/SLE.0b013e3181c48993.
Ever since single-incision laparoscopic surgery was introduced 12 years ago, it has undergone many attempts to improve its feasibility and accessibility. We herein are reporting our early experience with SILS Port as a multichannel single-port access to perform laparoscopic sleeve gastrectomy.
Six morbidly obese patients underwent laparoscopic sleeve gastrectomy using the SILS Port as a common point of entry for 3 trocars. The same perioperative protocol was implemented for all 6 patients.
All 6 SILS Port laparoscopic sleeve gastrectomies were successfully performed using this technique. The 3 super-obese male patients with central obesity required the insertion of a 5-mm subxiphoid trocar. The mean operating time was 123 minutes. There were no mortalities or postoperative complications noted during the immediate follow-up period of all 6 patients.
SILS gastrectomy using SILS Port is safe and feasible.
自12年前单孔腹腔镜手术问世以来，人们进行了多次尝试以提高其可行性和可及性。我们在此报告我们使用SILS Port作为多通道单孔接入装置进行腹腔镜袖状胃切除术的早期经验。
6例病态肥胖患者接受了腹腔镜袖状胃切除术，使用SILS Port作为3个套管针的共同入口点。对所有6例患者实施相同的围手术期方案。
所有6例使用SILS Port的腹腔镜袖状胃切除术均使用该技术成功完成。3例患有中心性肥胖的超级肥胖男性患者需要插入一个5毫米的剑突下套管针。平均手术时间为123分钟。在所有6例患者的近期随访期间均未发现死亡或术后并发症。
使用SILS Port进行SILS胃切除术是安全可行的。
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