Kawaguchi Masahiko, Ishikawa Norihiko, Shimizu Satsuki, Shin Hisato, Matsunoki Aika, Watanabe Go
Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan.
Minim Invasive Ther Allied Technol. 2011 Jan;20(1):62-4. doi: 10.3109/13645706.2010.518691. Epub 2010 Oct 14.
Single Incision Endoscopic Surgery (SIES) has emerged as a less invasive surgery among laparoscopic surgeries, and this approach for incisional hernia was reported recently. This is the first report of SIES for an incisional lumbar hernia. A 66-year-old Japanese woman was referred to our institution because of a left flank hernia that developed after left iliac crest bone harvesting. A 20-mm incision was created on the left side of the umbilicus and all three trocars (12, 5, and 5 mm) were inserted into the incision. The hernial defect was 14 × 9 cm and was repaired with intraperitoneal onlay mesh and a prosthetic graft. The postoperative course was uneventful. SIES for lumbar hernia offers a safe and effective outcome equivalent compared to laparoscopic surgery. In addition, SIES is less invasive and has a cosmetic benefit.
单切口内镜手术（SIES）已成为腹腔镜手术中侵入性较小的一种手术方式，且最近有关于这种方法用于切口疝的报道。这是首例关于SIES治疗切口性腰疝的报告。一名66岁的日本女性因左侧髂嵴取骨术后出现左侧腰部疝而转诊至我院。在脐左侧做一个20毫米的切口，将所有三个套管针（12、5和5毫米）插入该切口。疝缺损为14×9厘米，采用腹膜内补片修补术和人工移植物进行修复。术后过程顺利。与腹腔镜手术相比，SIES治疗腰疝具有同等的安全有效结果。此外，SIES侵入性更小，具有美容优势。
