Henckens Tom, Van de Putte Dirk, Van Renterghem Katrien, Ceelen Wim, Pattyn Piet, Van Nieuwenhove Yves
Department of Gastrointestinal Surgery, University Hospital Ghent, Ghent, Belgium.
J Laparoendosc Adv Surg Tech A. 2010 Jun;20(5):469-71. doi: 10.1089/lap.2009.0391.
Laproscopic single-site surgery is the natural evolution of minimally invasive surgery.
A 70-year-old male was planned for a resection of a gastric GIST (gastrointestinal stromal tumor). A Triport trocar (Olympus, Aartselaar, Belgium) was placed through a 2-cm periumbilical incision. Besides the placement of a Nathanson liver retractor in the subxiphoidal position, no additional trocars had to be added. The partial gastrectomy was carried out by using clinical prototypes of double-bended intruments and of a "goose neck" videolaparoscope, all specially designed for single-port surgery.
Total operative time was 140 minutes, and estimated blood loss was 10 mL. No intra- or postoperative complications occurred. Hospital stay was 4 days. Final pathology revealed the complete resection of a GIST tumor of gastric origin.
We have demonstrated the technical feasibility and described the detailed surgical technique of laparoendoscopic single-site surgery gastric wedge resection.
腹腔镜单孔手术是微创手术的自然演进。
计划为一名70岁男性切除胃间质瘤（胃肠道间质瘤）。通过脐周2厘米切口置入一个Triport套管针（奥林巴斯，比利时阿尔茨拉尔）。除了在剑突下放置一个纳森森肝脏牵开器外，无需额外增加套管针。部分胃切除术使用了专门为单孔手术设计的双弯器械和“鹅颈”式视频腹腔镜的临床原型进行。
总手术时间为140分钟，估计失血量为10毫升。未发生术中或术后并发症。住院时间为4天。最终病理显示胃源性间质瘤肿瘤完全切除。
我们已经证明了腹腔镜单孔手术胃楔形切除术的技术可行性，并描述了详细的手术技术。
