Catholic University of Sacred Heart, Largo A. Gemelli 8, 00168, Rome, Italy.
Obes Surg. 2010 Aug;20(8):1154-60. doi: 10.1007/s11695-010-0153-8.
Single-incision laparoscopic surgery (SILS) has been developed with the aim of reducing the invasiveness of traditional laparoscopy.
The technique of single-incision laparoscopic gastric bypass performed through a single intra-umbilical incision was adopted in 16 obese patients and minutely described. Fourteen patients underwent single-loop gastric bypass and two patients underwent "double loop" (Roux-en-Y) gastric bypass.
Operating time was less than 2 h in all cases. All procedures were completed with the single-access technique. There were no major per-operative complications. Patients were early-discharged after an upper GI examination and restoration of a liquid diet.
Emerging technology has contributed to the diffusion of SILS; single-incision laparoscopy is validated and established in cholecystectomy and is gaining acceptance in other techniques also. High technical skill is required for manipulating, measuring, and suturing the bowel with articulated instruments. However, randomized, controlled trials are required to determine the real advantages of this technique in comparison with standard laparoscopy.
单切口腹腔镜手术（SILS）的发展旨在降低传统腹腔镜手术的侵袭性。
通过单脐内切口采用单切口腹腔镜胃旁路手术技术，并进行了详细描述。16 例肥胖患者接受了单环胃旁路手术，2 例患者接受了“双环”（Roux-en-Y）胃旁路手术。
所有病例的手术时间均小于 2 小时。所有手术均通过单通道技术完成。无重大手术并发症。患者在上消化道检查和恢复液体饮食后即可早期出院。
新兴技术促进了 SILS 的普及；单切口腹腔镜技术已在胆囊切除术得到验证和确立，并在其他技术中也得到了认可。使用铰接器械进行肠操作、测量和缝合需要高超的技术。然而，需要进行随机对照试验来确定与标准腹腔镜相比，这种技术的真正优势。
