土耳其单中心单切口腹腔镜手术在儿童中的应用经验。
Single center experience in single-incision laparoscopic surgery in children in Turkey.
机构信息
Department of Pediatric Surgery, Ege University Faculty of Medicine, 35100, Izmir, Turkey.
Department of Pediatric Surgery, Ege University Faculty of Medicine, 35100, Izmir, Turkey.
出版信息
J Pediatr Surg. 2011 Apr;46(4):704-707. doi: 10.1016/j.jpedsurg.2010.10.004.
PURPOSE
Minimally invasive surgery has evolved into single-incision laparoscopic surgery (SILS) in the recent years. Few reports have addressed the practicality of SILS in children. Our current experience with regard to feasibility and effectiveness of SILS in children is presented.
METHODS
A retrospective review of the operative database for patients operated on using SILS in our department from March 2009 to July 2010 was performed. Data regarding the type of the procedure, age, sex, operative performance, hospital stay, and complications were collected.
MAIN RESULTS
Among 43 patients, cholecystectomy was performed in 11; appendectomy, in 10; unroofing for ovarian cysts, in 5; unroofing for splenic cysts, in 4; oophorectomy, in 6 (ovarian torsion, 2; teratoma, 4); ovary-preserving teratoma excision, in 1; splenectomy, in 1; gonadectomy, in 3; and varicocelectomy, in 2. There were no conversions to standard laparoscopic or open techniques. The only postoperative complication was a wound infection that occurred after an appendectomy.
CONCLUSION
Although currently more expensive, SILS can be performed in children in almost every pediatric surgical procedure that can be accomplished with conventional laparoscopic techniques. The most significant contribution of SILS procedure is cosmesis. Postoperative pain and length of hospital stay were not improved.
目的
微创技术近年来已发展为单孔腹腔镜手术（SILS）。目前，仅有少数研究报道了 SILS 在儿童中的实用性。本研究旨在介绍我们在儿童中应用 SILS 的经验，包括其可行性和有效性。
方法
对 2009 年 3 月至 2010 年 7 月期间在我科行 SILS 的患者的手术数据库进行回顾性分析。收集的数据包括手术类型、年龄、性别、手术操作、住院时间和并发症等。
主要结果
43 例患者中，行胆囊切除术 11 例，阑尾切除术 10 例，卵巢囊肿开窗术 5 例，脾囊肿开窗术 4 例，卵巢切除术（卵巢扭转 2 例，畸胎瘤 4 例）6 例，卵巢保留的畸胎瘤切除术 1 例，脾切除术 1 例，性腺切除术 3 例，精索静脉曲张切除术 2 例。无一例中转开腹或标准腹腔镜手术。唯一的术后并发症是阑尾切除术后伤口感染。
结论
虽然 SILS 目前更昂贵，但它几乎可以应用于所有可以通过传统腹腔镜技术完成的儿科手术。SILS 手术的最大贡献在于美容效果。术后疼痛和住院时间无明显改善。
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