Advanced Gynaecological Oncology Centre, Department of Obstetrics and Gynaecology, University of Eastern Piedmont, Novara, Italy.
J Minim Invasive Gynecol. 2010 Sep-Oct;17(5):656-9. doi: 10.1016/j.jmig.2010.05.005.
Since the first laparoscopic appendectomy was performed by Semm in 1983, laparoscopic surgery has become the criterion standard surgical route for treatment of several pathologic conditions across disciplines. Attempts to minimize access-related injuries and complications resulted in development of laparoendoscopic single-site surgery (LESS), which, because of the decreased number of ports used, may be the next generation of minimally invasive surgery. Laparoscopic single-site surgery has been reported in nephrectomy, pyeloplasty, radical prostatectomy, cholecystectomy, and colorectal, bariatric, and gynecologic surgery. This technique may increase the benefits of traditional minimally invasive surgery such as decreased blood loss and postoperative pain, faster recovery time, fewer complications, and better cosmetic results, without increasing costs. Herein, we present a case report of single-port laparoscopic ovarian cystectomy and concomitant cholecystectomy performed with a multi-instrument access port (TriPort; Olympus America Inc., Center Valley, Pennsylvania). Single-port surgery eliminates the problem of multiple and different site placement for accessory ports, typical of these procedures when performed simultaneously at conventional laparoscopy.
自 1983 年 Semm 首次进行腹腔镜阑尾切除术以来，腹腔镜手术已成为多个医学领域治疗多种病理状况的标准手术途径。为了尽量减少与器械相关的损伤和并发症，人们尝试开发了单孔腹腔镜手术（LESS），由于使用的器械端口数量减少，LESS 可能成为下一代微创手术。LESS 已应用于肾切除术、肾盂成形术、根治性前列腺切除术、胆囊切除术以及结直肠、减重和妇科手术。与传统的微创手术相比，该技术可能增加了一些益处，如减少出血量和术后疼痛、更快的恢复时间、更少的并发症和更好的美容效果，而不会增加成本。在此，我们报告了一例使用多器械通道端口（TriPort；Olympus America Inc.，宾夕法尼亚州中心谷）进行的单孔腹腔镜卵巢囊肿切除术和胆囊切除术。单孔手术消除了在传统腹腔镜下同时进行这些手术时，因需要在不同部位放置多个附加器械端口而产生的问题。
