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单切口腹腔镜辅助右半结肠切除术:技术与应用(附视频)

Single incision laparoscopic-assisted right hemicolectomy: technique and application (with video).

作者信息

Patel Chirag B, Ramos-Valadez Diego I, Ragupathi Madhu, Haas Eric M

机构信息

Division of Minimally Invasive Colon and Rectal Surgery, Department of Surgery, University of Texas Medical School at Houston, Houston, TX, USA.

出版信息

Surg Laparosc Endosc Percutan Tech. 2010 Oct;20(5):e146-9. doi: 10.1097/SLE.0b013e3181ee039f.

Abstract

PURPOSE

Most commonly employed for surgery of the gallbladder and appendix, single-incision laparoscopic surgery (SILS) is rapidly evolving in the field of minimally invasive surgery. The purpose of this report is to describe the feasibility and technique for SILS right hemicolectomy, which has not been widely reported.

METHODS

We describe a laparoscopic right hemicolectomy with a modified single-incision technique for the management of a precancerous polyp of the ascending colon.

RESULTS

The procedure was successfully performed in 105 minutes using 3 transumbilical trocars placed through a single port, and readily available nonarticulating laparoscopic instruments. In addition, we review the literature of SILS procedures involving the colon and discuss differences between our approach and those reported elsewhere.

CONCLUSIONS

SILS is a feasible modality applicable to minimally invasive surgery of the colon and can offer benefits to the patient.

摘要

目的

单切口腹腔镜手术(SILS)最常用于胆囊和阑尾手术,在微创手术领域正迅速发展。本报告的目的是描述SILS右半结肠切除术的可行性和技术,该手术尚未得到广泛报道。

方法

我们描述了一种改良的单切口技术用于腹腔镜右半结肠切除术,以处理升结肠的癌前息肉。

结果

使用通过单个端口置入的3个经脐套管针和易于获得的非关节式腹腔镜器械,在105分钟内成功完成了该手术。此外,我们回顾了涉及结肠的SILS手术的文献,并讨论了我们的方法与其他地方报道的方法之间的差异。

结论

SILS是一种适用于结肠微创手术的可行方式,可为患者带来益处。

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