Lukovich Peter, Hahn Oszkar, Tarjányi Maria
Semmelweis University of Medicine, Budapest, Hungary.
Surg Innov. 2011 Sep;18(3):NP1-3. doi: 10.1177/1553350610392930. Epub 2011 Mar 7.
Single-port surgery was developed by the evolution of the laparoscopy. The advantage of this new method is mainly cosmetic, but the risk of the hernia-owing to the larger port-increased.
A 71-year-old man was admitted with a left lateral inguinal hernia and gallbladder stones. After preparation of the sac of the hernia, a single-port was inserted into the lateral ring and a cholecystectomy was performed. The operation was completed by the reconstruction of the abdominal wall using a polypropylene mesh. The total operating time was 85 minutes.
In the case of the combined operation, the defect of the abdominal wall could be used as a location of the single port, and the trauma of the abdominal wall could be avoided. This is the first publication about single-port cholecystectomy where the ring of the inguinal hernia was used as a placement site of the single port.
单孔手术是随着腹腔镜技术的发展而产生的。这种新方法的优势主要体现在美容方面，但由于端口较大，疝气风险增加。
一名71岁男性因左侧腹股沟疝和胆结石入院。在准备疝囊后，将一个单孔端口插入外环，然后进行胆囊切除术。通过使用聚丙烯网片重建腹壁完成手术。总手术时间为85分钟。
在联合手术的情况下，腹壁缺损可作为单孔端口的放置位置，从而避免腹壁创伤。这是关于将腹股沟疝环用作单孔端口放置部位的单孔胆囊切除术的首次报道。
