Department of Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Colorectal Dis. 2012 Apr;14(4):e171-6. doi: 10.1111/j.1463-1318.2011.02825.x.
Instrument crowding is encountered in single-incision laparoscopic surgery (SILS). Our aim was to compare the results of SILS with those of conventional laparoscopic surgery (CLS) for malignant colorectal disease.
The records of 27 patients who received SILS for the treatment of malignant disease using a home-made multiple-port system were compared with those of 68 patients who received CLS performed in a standard manner using four to five trocar sites.
There were no significant differences in age, gender, disease stage, tumour location or tumour size between the SILS and CLS groups. The most common surgery was high anterior resection in both groups (SILS, 63.0%vs CLS, 58.8%). There were no significant differences between the groups in types of surgery performed, length of bowel resected, resection margin, blood loss, duration of surgery or postoperative complications. Postoperative pain scores were significantly higher in the SILS group than in the CLS group (3.07 ± 1.14 vs 2.41 ± 0.63, respectively, P < 0.001).
SILS is as effective as CLS, and is not associated with increased duration of surgery, blood loss or complications.
单孔腹腔镜手术（SILS）中会出现仪器拥挤的情况。我们的目的是比较 SILS 与传统腹腔镜手术（CLS）治疗结直肠恶性疾病的结果。
将使用自制多孔系统进行 SILS 治疗恶性疾病的 27 例患者的记录与使用 4 至 5 个 trocar 站点以标准方式进行 CLS 的 68 例患者的记录进行比较。
SILS 组和 CLS 组在年龄、性别、疾病分期、肿瘤位置或肿瘤大小方面无显著差异。两组最常见的手术均为高位前切除术（SILS 组 63.0%，CLS 组 58.8%）。两组手术类型、切除肠段长度、切缘、出血量、手术时间或术后并发症无显著差异。SILS 组术后疼痛评分明显高于 CLS 组（3.07±1.14 与 2.41±0.63，P<0.001）。
SILS 与 CLS 一样有效，且不会导致手术时间延长、出血或并发症增加。
