Vilallonga R, Stoica R A, Cotirlet A, Armengol M, Iordache N
General Surgery Department, Universitary Hospital Vall d'Hebron, Barcelona, Spain.
Chirurgia (Bucur). 2010 Mar-Apr;105(2):239-41.
Since early nineties, laparoscopic cholecystectomy has become gold standard for cholecystectomy. Also, a high tendency of minimizing surgical trauma encourages the use of new approaches in laparoscopic surgery. A novel approach such as Single incision laparoscopic surgery (SILS) cholecystectomy has been describes.
We report on a case of a 33-year-old female patient scheduled for elective laparoscopic cholecystectomy due to symptomatic ultrasonography verified cholelithiasis. A single 2.5-cm long semicircular infraumbilical skin incision was used. Pneumoperitoneum was established alter introduction of the predesigned trocar. Antegrade cholecystectomy was performed without stay suture placement. Postoperative course was uneventful.
This article reports the authors' method of performing SILS cholecystectomy. SILS approach is feasible with new standard devices from the industry that offers slightly modified instruments for standard laparoscopic cholecystectomy.
Single-incision laparoscopic surgery is a feasible way to perform cholecystectomy. A learning-curve is required and further work in the form of randomized controlled trials is needed to investigate the advantages of this new technique.
自九十年代初以来，腹腔镜胆囊切除术已成为胆囊切除术的金标准。此外，尽量减少手术创伤的强烈趋势促使在腹腔镜手术中采用新方法。一种新的方法，如单切口腹腔镜手术（SILS）胆囊切除术已被描述。
我们报告一例33岁女性患者，因超声检查证实有症状的胆结石而计划进行择期腹腔镜胆囊切除术。采用了一个2.5厘米长的半圆形脐下皮肤切口。在插入预先设计的套管针后建立气腹。顺行胆囊切除术未放置牵引缝线。术后过程顺利。
本文报告了作者进行SILS胆囊切除术的方法。使用行业内的新标准设备进行SILS手术是可行的，这些设备为标准腹腔镜胆囊切除术提供了略有改进的器械。
单切口腹腔镜手术是进行胆囊切除术的一种可行方法。需要一个学习曲线，并且需要以随机对照试验的形式进行进一步的研究，以探讨这种新技术的优势。
