Kobayashi Shogo, Nagano Hiroaki, Marubashi Shigeru, Wada Hiroshi, Eguchi Hidetoshi, Takeda Yutaka, Tanemura Masahiro, Sekimoto Mitsugu, Doki Yuichiro, Mori Masaki
Department of Surgery, Osaka University, Yamadaoka 2-2, Suita City, Osaka, Japan.
Minim Invasive Ther Allied Technol. 2010 Dec;19(6):367-71. doi: 10.3109/13645706.2010.518731. Epub 2010 Oct 14.
Minimally invasive approaches for small liver tumors are desirable. We describe a single-incision laparoscopic hepatectomy (SILH) using total laparoscopic surgery (TLS) technique. SILH was performed to remove a solitary 2-cm hepatocellular carcinoma located at segment 3. The technique included a one-inch skin incision with three ports (one 12 mm and two of 5 mm each). The liver was sealed and dissected by three different devices: Harmonic scalpel, TissueLink sealing dissector, and Endoclip. Operation time was 70 minutes and blood loss was trivial. The patient required no analgesia postoperatively and walked unaided the next day. Various aspects of the procedure were not different from TLS. SILH is a safe procedure with several advantages. The procedure is promising as minimally invasive liver surgery.
对于小肝癌，微创方法是可取的。我们描述了一种使用全腹腔镜手术（TLS）技术的单切口腹腔镜肝切除术（SILH）。采用SILH切除位于肝段3的一个2厘米孤立性肝细胞癌。该技术包括一个1英寸的皮肤切口和三个端口（一个12毫米和两个各5毫米）。肝脏通过三种不同的设备进行封闭和解剖：超声刀、TissueLink密封解剖器和Endoclip。手术时间为70分钟，失血极少。患者术后无需镇痛，第二天即可独立行走。该手术的各个方面与TLS并无不同。SILH是一种具有多种优点的安全手术。作为微创肝脏手术，该手术前景广阔。
