Division of Minimally Invasive Colon and Rectal Surgery, Department of Surgery, University of Texas Medical School at Houston, 7900 Fannin Street, Suite 2700, Houston, TX 77054, USA.
Int J Colorectal Dis. 2011 Jun;26(6):761-7. doi: 10.1007/s00384-011-1185-9. Epub 2011 Mar 29.
Single-incision laparoscopic colectomy (SILC) is an emerging procedure in the field of minimally invasive colon and rectal surgery. The purpose of this study was to evaluate the safety and feasibility of this procedure.
Between July 2009 and April 2010, SILC was performed for 35 patients presenting with pathology of the colon. Surgical procedures included right hemicolectomy, sigmoid resection, and total colectomy. Demographic data, intraoperative parameters, and short-term postoperative outcomes were assessed.
Thirty two of the 35 patients (91.4%) underwent successful completion of SILC while 3 patients required laparoscopic modifications. The mean incision length was 3.4 cm with a range of 2-6 cm. The mean total operative time (OT) for right, left, and total colectomies was 158.8 ± 31.8 min, 127.0 ± 37.1 min, and 216.3 ± 72.6 min, respectively. Overall, the OT was not significantly different between patients with a body mass index (BMI) ≥ 25 kg/m(2) (147.9 ± 47.9 min) compared to those with a BMI <25 kg/m(2) (123.1 ± 40.9 min). In the subset of patients with malignant disease, the mean lymph node extraction was 23.5 ± 12.0 and all margins were negative. There were no intraoperative complications, and the overall mean length of hospital stay was 2.9 ± 1.0 days (range 2-6 days). The postoperative morbidity rate was 11.4%.
Single-incision laparoscopic colectomy is a safe and feasible procedure for benign and malignant diseases of the colon. This modality can be successfully applied for various colorectal procedures without conversion to open surgery, resulting in a short length of hospital stay and a minimal short-term complication rate.
单孔腹腔镜结肠切除术（SILC）是微创结肠直肠外科领域的一项新兴技术。本研究旨在评估该技术的安全性和可行性。
2009 年 7 月至 2010 年 4 月，对 35 例有结肠病变的患者行 SILC 手术。手术包括右半结肠切除术、乙状结肠切除术和全结肠切除术。评估了患者的人口统计学资料、术中参数和短期术后结果。
35 例患者中 32 例（91.4%）成功完成 SILC，3 例患者需要腹腔镜辅助。切口平均长度为 3.4cm（范围 2-6cm）。右半结肠切除术、左半结肠切除术和全结肠切除术的平均总手术时间（OT）分别为 158.8±31.8min、127.0±37.1min 和 216.3±72.6min。总体而言，体质量指数（BMI）≥25kg/m²的患者（147.9±47.9min）与 BMI＜25kg/m²的患者（123.1±40.9min）之间的 OT 无显著差异。在恶性疾病患者亚组中，平均淋巴结检出数为 23.5±12.0 枚，所有切缘均为阴性。无术中并发症，平均住院时间为 2.9±1.0 天（范围 2-6 天）。术后发病率为 11.4%。
单孔腹腔镜结肠切除术治疗结直肠良恶性疾病是安全可行的。这种方式可成功应用于各种结直肠手术，无需转为开腹手术，住院时间短，短期并发症发生率低。
