Fan Ying, Wu Shuo-Dong, Siwo Ernest-Amos
China Medical University, Shenyang, China.
Surg Innov. 2011 Jun;18(2):185-8. doi: 10.1177/1553350611403767. Epub 2011 Apr 25.
The authors report 1 case of emergency splenectomy for the treatment of traumatic rupture of the spleen where a laparoendoscopic single-site surgery technique was performed.
A 17-year-old male with a diagnosis of traumatic rupture of the spleen underwent emergency transumbilical single-incision laparoscopic splenectomy. Three ports, including 5 mm and 10 mm ports, were placed through a transumbilical incision for the procedure.
Intraoperative and postoperative courses were uneventful. The patient was discharged home 8 days after the surgery in a stable condition. Discussion. The Laparoendoscopic single site surgery technique is still in its infancy, but because of its reduced invasion and ideal aesthetic results, it is well received by patients. Improvements are needed to widen its application.
To the authors' knowledge, this is the first report where an emergency laparoendoscopic single site surgery technique has been used in the management of a ruptured spleen.
作者报告1例采用腹腔镜单孔手术技术治疗外伤性脾破裂的急诊脾切除术病例。
一名诊断为外伤性脾破裂的17岁男性接受了急诊经脐单切口腹腔镜脾切除术。通过经脐切口放置三个端口，包括5毫米和10毫米端口用于该手术。
术中和术后过程均顺利。患者术后8天出院，病情稳定。讨论。腹腔镜单孔手术技术仍处于起步阶段，但由于其侵袭性降低和美学效果理想，受到患者的欢迎。需要改进以扩大其应用范围。
据作者所知，这是首次报道在处理破裂脾脏时使用急诊腹腔镜单孔手术技术。
