Department of Surgery, Yokohama Sakae Kyousai Hospital, 132 Katsura-cho, Sakae-ku, Yokohama, Kanagawa 247-8581, Japan.
World J Gastroenterol. 2010 Jan 14;16(2):270-4. doi: 10.3748/wjg.v16.i2.270.
Single-incision laparoscopic surgery is a rapidly evolving field as a bridge between traditional laparoscopic surgery and natural orifice transluminal endoscopic surgery. We report one of the initial clinical experiences in Japan with this new technique. Four cases of gallbladder diseases were selected for this new technique. A single curved intra-umbilical 25-mm incision was made by pulling out the umbilicus. A 12-mm trocar was placed through an open approach, and the abdominal cavity was explored with a 10-mm semi-flexible laparoscope. Two 5-mm ports were inserted laterally from the laparoscope port. A 2-mm mini-loop retractor was inserted to retract the fundus of the gallbladder. Dissection was performed using an electric cautery hook and an Endograsper roticulator. There were two women and two men with a mean age of 50.5 years (range: 40-61 years). All procedures were completed successfully without any perioperative complications. In all cases, there was no need to extend the skin incision. Average operative time was 88.8 min. Postoperative follow-up did not reveal any umbilical wound complication. Single-incision laparoscopic cholecystectomy is feasible and a promising alternative method as scarless abdominal surgery for the treatment of some patients with gallbladder disease.
单孔腹腔镜手术作为传统腹腔镜手术与经自然腔道内镜手术之间的桥梁，是一个快速发展的领域。我们报告了日本在这项新技术方面的早期临床经验之一。选择了四种胆囊疾病来进行这种新技术。通过拔出肚脐，在肚脐上做一个单一的弯曲的 25mm 切口。通过开放式方法插入一个 12mm 的 trocar，并使用 10mm 的半柔性腹腔镜探查腹腔。从腹腔镜端口侧向插入两个 5mm 的端口。插入一个 2mm 的微型环牵开器以牵拉胆囊底部。使用电灼钩和 Endograsper 旋转器进行解剖。有两名女性和两名男性，平均年龄为 50.5 岁（范围：40-61 岁）。所有手术均成功完成，无围手术期并发症。在所有病例中，均无需扩大皮肤切口。平均手术时间为 88.8 分钟。术后随访未发现脐部伤口并发症。单孔腹腔镜胆囊切除术是可行的，作为一种有前途的无疤痕腹部手术方法，适用于治疗某些胆囊疾病患者。
