Moreno Sanz Carlos, Noguera Aguilar José F, Herrero Bogajo María Luz, Morandeira Rivas Antonio, García Llorente César, Tadeo Ruíz Gloria, Cuadrado García Angel, Picazo Yeste Joaquín S
Servicio de Cirugía, Hospital General La Mancha Centro, Alcázar de San Juan, Ciudad Real, España.
Cir Esp. 2010 Jul;88(1):12-7. doi: 10.1016/j.ciresp.2010.02.004. Epub 2010 Apr 10.
One of the aims of the new technologies and techniques in minimally invasive surgery (MIS) is to achieve a surgery without or with minimal visible scars. Natural orifice transluminal endoscopic surgery (NOTES) might be considered to be a paradigm of this development but it has not yet been possible to implement this universally. Nevertheless, the resultant innovation of research into NOTES has enabled "bridge technologies" to be introduced that allow MIS to be developed with the required standards of efficiency and safety. The aim of this paper is to review the concept of single incision surgery and to classify the available tools for its development and implementation.
微创手术(MIS)中新技术和技术的目标之一是实现无可见疤痕或仅有最小可见疤痕的手术。自然腔道内镜手术(NOTES)可能被视为这一发展的范例,但尚未能够普遍实施。尽管如此,NOTES研究产生的创新使得“桥梁技术”得以引入,从而使MIS能够按照所需的效率和安全标准得到发展。本文的目的是回顾单切口手术的概念,并对其发展和实施的可用工具进行分类。