Yu J, Wang Y N, Hu Y F, Cheng X, Zhen L, Li G X
Department of General Surgery, Nanfang Hospital Southern Medical University, Guangzhou, China.
Minim Invasive Ther Allied Technol. 2011 Jan;20(1):18-21. doi: 10.3109/13645706.2010.518672.
The three-port method is commonly used for laparoscopic appendectomy. To obtain a better cosmetic result, we have selected the single-incision laparoscopic appendectomy to be performed above the pubic symphysis. We performed six single-incision laparoscopic appendectomies above the pubic symphysis. During each operation, a 2 cm transverse incision was made in the pubic hair area 3-4 cm above the pubic symphysis. A 5 mm trocar was then placed as an observation port with another two 5 mm trocars as main- and side-operating ports. The laparoscopic appendectomy was performed using this single-incision method. Six patients (five male and one female; body mass indexes of 18.07, 19.27, 21.67, 18.34, 26.83 and 22.46 kg/m(2), respectively) underwent successful single-incision laparoscopic appendectomy above the pubic symphysis. Operating times were recorded at 55, 58, 47, 51, 42 and 33 minutes, the corresponding post-operative anal ventilation times were 25, 24, 22, 18, 7 and 10 hours, while post-operative hospitalization periods stand at 3, 5, 2, 1, 3 and 2 days, respectively. No complications occurred during or post-operation. Our initial work shows that a single-incision laparoscopic appendectomy performed above the pubic symphysis is feasible and safe and yields excellent post-operative cosmetic results.
三孔法常用于腹腔镜阑尾切除术。为了获得更好的美容效果，我们选择在耻骨联合上方进行单切口腹腔镜阑尾切除术。我们在耻骨联合上方进行了6例单切口腹腔镜阑尾切除术。每次手术时，在耻骨联合上方3 - 4 cm的阴毛区做一个2 cm的横向切口。然后置入一个5 mm的套管作为观察孔，另外两个5 mm的套管作为主操作孔和副操作孔。采用这种单切口方法进行腹腔镜阑尾切除术。6例患者（5例男性，1例女性；体重指数分别为18.07、19.27、21.67、18.34、26.83和22.46 kg/m²）在耻骨联合上方成功进行了单切口腹腔镜阑尾切除术。手术时间分别记录为55、58、47、51、42和33分钟，相应的术后肛门排气时间为25、24、22、18、7和10小时，而术后住院时间分别为3、5、2、1、3和2天。术中及术后均未发生并发症。我们的初步研究表明，在耻骨联合上方进行单切口腹腔镜阑尾切除术是可行且安全的，术后美容效果良好。
