单切口多通道腹腔镜阑尾切除术：我的手术方法。
Single-incision multi-port laparoscopic appendectomy: How I do it.
作者信息
Bhatia Parveen, Sabharwal Vinay, Kalhan Sudhir, John Suviraj, Deed Jagpreet S, Khetan Mukund
机构信息
Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital and Bhatia Global Hospital & Endosurgery Institute, New Delhi, India.
出版信息
J Minim Access Surg. 2011 Jan;7(1):28-32. doi: 10.4103/0972-9941.72372.
INTRODUCTION
Single-incision laparoscopic surgery (SILS) appendectomy seeks to further minimise the trauma of parietal access of laparoscopic appendectomy.
METHODS
We present our initial experience of 17 cases of SILS appendectomy which were completed using conventional laparoscopic instruments. We utiliesd a single-incision multi-port laparoscopic appendectomy (SIMPLA) technique.
RESULTS
The operative time was 63 ± 20 min, blood loss 6.5 ± 5 mL, bowel movement (passing stool) occurred in 2.6 ± 0.6 days. Most patients were discharged on the first operative day on oral diet. The analgesic usage and pain scores were similar to multi-port laparoscopic appendectomy. No complications were noted at follow-up till 4 weeks and the surgical wound healed in all patients with an inconspicuous scar.
CONCLUSION
Our initial experience with SILS appendectomy demonstrates its feasibility and supports the promise of minimising further the access of laparoscopic surgery. The clear advantage is its cosmetic benefit.
引言
单切口腹腔镜手术（SILS）阑尾切除术旨在进一步减少腹腔镜阑尾切除术腹壁入路的创伤。
方法
我们介绍了使用传统腹腔镜器械完成的17例SILS阑尾切除术的初步经验。我们采用了单切口多端口腹腔镜阑尾切除术（SIMPLA）技术。
结果
手术时间为63±20分钟，出血量为6.5±5毫升，术后2.6±0.6天出现排便。大多数患者在手术第一天口服饮食后出院。镇痛药物的使用和疼痛评分与多端口腹腔镜阑尾切除术相似。随访至4周时未发现并发症，所有患者的手术伤口均愈合，疤痕不明显。
结论
我们对SILS阑尾切除术的初步经验证明了其可行性，并支持进一步减少腹腔镜手术入路的前景。明显的优势在于其美容效果。
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