Hirano Yasumitsu, Watanabe Toru, Uchida Tsuneyuki, Yoshida Shuhei, Kato Hideaki, Hosokawa Osamu
Department of Surgery, Yokohama Sakae Kyousai Hospital, Yokohama, Kanagawa, Japan.
Surg Laparosc Endosc Percutan Tech. 2010 Aug;20(4):262-4. doi: 10.1097/SLE.0b013e3181e36a5b.
Laparoendoscopic single site surgery offers excellent cosmetic results and may be associated with decreased postoperative pain, reduced need for analgesia, and thus accelerated recovery. Preliminary experience with single-incision laparoscopic partial resection of the stomach for gastrointestinal stromal tumor (GIST) is reported. A single curved intraumbilical 25-mm incision was made with pulling out the umbilicus, and a 12-mm and two 5-mm ports were inserted. The submucosal gastric tumor located in the anterior wall of the stomach was resected with 2 endoscopic staplers under the retraction of 2-mm mini-loop retractor. The procedure was completed successfully without any perioperative complications, and there was no need to extend the skin incision. The operative time was 64 minutes. The final pathologic diagnosis was benign GIST. Postoperative follow-up did not reveal any umbilical wound complication. Laparoendoscopic single site partial resection of the stomach for GIST is feasible and a promising alternative method for scarless abdominal surgery.
腹腔镜单孔手术具有出色的美容效果，可能与术后疼痛减轻、镇痛需求减少以及恢复加速有关。本文报道了单切口腹腔镜胃部分切除术治疗胃肠道间质瘤（GIST）的初步经验。通过拉出脐部做一个25毫米的单弧形脐部切口，插入一个12毫米和两个5毫米的端口。在2毫米微型环形牵开器的牵拉下，使用2个内镜吻合器切除位于胃前壁的黏膜下胃肿瘤。手术顺利完成，无任何围手术期并发症，无需延长皮肤切口。手术时间为64分钟。最终病理诊断为良性GIST。术后随访未发现任何脐部伤口并发症。腹腔镜单孔胃部分切除术治疗GIST是可行的，是无痕腹部手术的一种有前景的替代方法。
