Department of Colorectal Surgery, Beaujon Hospital, Assistance Publique Hôpitaux de Paris (AP-HP), Clichy, France.
Colorectal Dis. 2011 Sep;13(9):1066-71. doi: 10.1111/j.1463-1318.2010.02404.x.
SILS is an area of growing interest in colorectal surgery. We report our preliminary experience of 13 consecutively selected patients undergoing colonic surgery using SILS.
From July 2009 to January 2010, 13 patients (five men) of median age 56 (23-82) years and a body mass index (BMI) of 23.5 (18-30) kg/m(2) underwent colonic surgery. Procedures included subtotal colectomy (1), ileocolic resection (2), right colectomy (4) and sigmoidectomy for benign disease (6). Three instruments (including camera) were introduced through a single 2.5-cm port (SILS™ Port Multiple Instrument Access Port; Covidien Inc., Norwalk, Connecticut, USA) inserted at the umbilicus.
The median operating time was 150 (100-240) min, and the median size of the umbilical port incision was 32 (25-50) mm. There was no postoperative mortality and morbidity, and the median hospital stay was 6 (4-10) days. The cosmetic result was judged to be excellent in 12 of 13 patients who felt it to be better than expected.
This preliminary experience shows that SILS is technically feasible and safe for colonic resection.
SILS 是结直肠外科学领域日益受到关注的一个方面。我们报告了我们对 13 例连续选择的接受 SILS 结肠手术的患者的初步经验。
从 2009 年 7 月至 2010 年 1 月，对 13 例（男 5 例）年龄中位数为 56（23-82）岁、体重指数（BMI）为 23.5（18-30）kg/m(2)的患者进行结肠手术。手术包括次全结肠切除术（1 例）、回结肠切除术（2 例）、右半结肠切除术（4 例）和乙状结肠切除术（良性疾病 6 例）。通过在脐部插入的单个 2.5cm 端口（SILS™Port Multiple Instrument Access Port；Covidien Inc.，康涅狄格州诺沃克，美国）引入三个器械（包括相机）。
中位手术时间为 150（100-240）分钟，中位脐部切口大小为 32（25-50）mm。无术后死亡和并发症，中位住院时间为 6（4-10）天。13 例患者中有 12 例对美容效果的评价为优秀，他们认为比预期的要好。
这初步经验表明，SILS 技术上是可行的，对结肠切除术是安全的。
