Kuroki Tamotsu, Adachi Tomohiko, Okamoto Tatsuya, Kanematsu Takashi
Department of Surgery, Nagasaki University, Graduate School of Biomedical Sciences, Sakamoto, Nagasaki, Japan.
Hepatogastroenterology. 2011 May-Jun;58(107-108):1022-4.
Single-incision laparoscopic surgery (SILS) is a novel area of minimally invasive surgery, and rapidly evolving in the field of abdominal surgery. However, SILS is not a common procedure for pancreatic surgery. We describe our first experience with a SILS approach in a patient with a metastatic pancreatic tumor. We performed a SILS distal pancreatectomy (SILS-DP) using 3 trocars placed through a single port at an umbilical incision. In our case, the most important surgical technique was the stomach-hanging method to obtain a favorable laparoscopic view of the pancreas. Although SILS-DP is a safe and feasible procedure, further studies are required to determine the advantages of this procedure in comparison with the standard laparoscopic method.
单孔腹腔镜手术（SILS）是微创外科的一个新领域，并且在腹部外科领域迅速发展。然而，SILS在胰腺手术中并非常见术式。我们描述了我们对一名转移性胰腺肿瘤患者采用SILS方法的首次经验。我们通过脐部切口的单个端口置入3个套管针进行了单孔腹腔镜远端胰腺切除术（SILS-DP）。在我们的病例中，最重要的手术技术是胃悬吊法，以获得良好的胰腺腹腔镜视野。虽然SILS-DP是一种安全可行的手术，但需要进一步研究以确定该手术与标准腹腔镜方法相比的优势。
