Dapri Giovanni, Casali Lorenzo, Bruyns Jean, Himpens Jacques, Cadiere Guy-Bernard
Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium.
Surg Technol Int. 2010 Oct;20:21-35.
In recent years, laparoscopic surgery underwent a huge investment from both the clinical and research points of view to perform classic procedures through a single (S) incision or single port, resulting in the development of different instruments and ports. The main advantage of the S-access laparoscopy (SAL) is cosmesis. Future investigations will provide other potential advantages, such as improvement in postoperative pain and patient satisfaction. We report our initial experience on 115 patients utilizing a SAL (appendectomy, cholecystectomy, incisional hernia repair, Nissen fundoplication, upper gastrointestinal surgery, diagnostic laparoscopy, hepatic resection, splenectomy), along with the new curved reusable instruments (Karl Storz-Endoskope, Tuttlingen, Germany). The curves of the instruments enable the surgeon to work in an ergonomic position similar to classic laparoscopy, establishing a working triangulation inside the abdomen as well as outside. The cost of SAL is similar to classic laparoscopy as only reusable products are used.
近年来，从临床和研究角度来看，腹腔镜手术都进行了大量投入，以通过单切口（S）或单孔来实施经典手术，从而推动了不同器械和端口的发展。S 通道腹腔镜手术（SAL）的主要优势在于美观性。未来的研究将揭示其他潜在优势，例如术后疼痛减轻和患者满意度提高。我们报告了 115 例患者使用 SAL（阑尾切除术、胆囊切除术、切口疝修补术、nissen 胃底折叠术、上消化道手术、诊断性腹腔镜检查、肝切除术、脾切除术）以及新型可重复使用的弯曲器械（德国图特林根的卡尔·史托斯内窥镜公司生产）的初步经验。器械的弯曲形状使外科医生能够以类似于经典腹腔镜手术的人体工程学姿势进行操作，在腹腔内外建立起工作三角。由于仅使用可重复使用的产品，SAL 的成本与经典腹腔镜手术相似。
