Division of Surgery, Imperial College London, St Mary's Hospital Campus, Praed Street, London, W2 1NY, UK.
Surg Endosc. 2010 Oct;24(10):2567-74. doi: 10.1007/s00464-010-1004-3. Epub 2010 Mar 25.
Single incision laparoscopic surgery (SILS) may further reduce the trauma of surgery leading to reduced port site complications and postoperative pain. The improved cosmetic result also may lead to improved patient satisfaction with surgery.
Data were prospectively collected and retrospectively analyzed for all patients who underwent SILS appendicectomy at our institution and were compared with those who had undergone conventional laparoscopic appendicectomy during the same time period. This included patient demographic data, intraoperative, and postoperative outcomes.
Thirty-three patients underwent conventional laparoscopic appendicectomy and 40 patients underwent SILS appendicectomy between January 26, 2008 and July 14, 2009. Operative time was shorter with SILS appendicectomy compared with conventional laparoscopic appendicectomy (p < 0.05). No patients in the SILS appendicectomy group required conversion to open surgery compared with two patients in the conventional laparoscopic appendicectomy group. Patients stayed an average of 1.36 days after SILS appendicectomy, and 2.36 days after conventional laparoscopic appendicectomy.
SILS appendicectomy seems to be a safe and efficacious technique. Further work in the form of randomized studies is required to investigate any significant advantages of this new and attractive technique.
单切口腹腔镜手术（SILS）可能会进一步减少手术创伤，从而减少切口部位并发症和术后疼痛。改善的美容效果也可能会提高患者对手术的满意度。
对在我院行 SILS 阑尾切除术的所有患者进行前瞻性数据收集和回顾性分析，并与同期行传统腹腔镜阑尾切除术的患者进行比较。包括患者的人口统计学数据、术中及术后结果。
2008 年 1 月 26 日至 2009 年 7 月 14 日期间，33 例患者接受了传统腹腔镜阑尾切除术，40 例患者接受了 SILS 阑尾切除术。SILS 阑尾切除术的手术时间比传统腹腔镜阑尾切除术短（p<0.05）。SILS 阑尾切除术组无患者需要转为开放性手术，而传统腹腔镜阑尾切除术组有 2 例。SILS 阑尾切除术组患者平均住院 1.36 天，传统腹腔镜阑尾切除术组患者平均住院 2.36 天。
SILS 阑尾切除术似乎是一种安全有效的技术。需要进一步开展随机研究，以调查这种新的有吸引力的技术是否有任何显著优势。
