Jing Kong, Shuo-Dong Wu, Ying Fan
1Sheng Jing Hospital of China Medical University, Shenyang City, China.
Surg Innov. 2013 Dec;20(6):NP21-4. doi: 10.1177/1553350611426567. Epub 2012 Jan 5.
Single-incision laparoscopy surgery (SILS) has rapidly developed as both a cosmetic advantage of natural orifice translumenal endoscopic surgery and a standard surgical procedure. In this article, the authors report on the new technique of SILS splenectomy plus pericaudial devascularization with conventional laparoscopic instruments.
The technique of SILS splenectomy plus pericaudial devascularization in one patient with portal hypertension was introduced.
The procedure was feasible with conventional laparoscopic instruments. Operative time was 240 minutes, and blood loss was 350 mL. No intraoperative or postoperative complications, such as secondary hemorrhage or pancreatic leakage, were recorded. The patient was fully recovered, and the single umbilical scar was well healed.
SILS splenectomy plus pericaudial devascularization is feasible when performed by experienced laparoscopic surgeons. It may have the same cosmetic advantage as natural orifice translumenal endoscopic surgery and may offer the safety of conventional laparoscopic operation. As far as the authors are aware, this is the first report.
单孔腹腔镜手术（SILS）作为自然腔道内镜手术的一项具有美容优势的标准外科手术已迅速发展。在本文中，作者报告了使用传统腹腔镜器械进行SILS脾切除术加脾周去血管化的新技术。
介绍了对一名门静脉高压患者实施SILS脾切除术加脾周去血管化的技术。
使用传统腹腔镜器械该手术可行。手术时间为240分钟，失血量为350毫升。未记录到术中或术后并发症，如继发性出血或胰漏。患者完全康复，脐部单切口瘢痕愈合良好。
由经验丰富的腹腔镜外科医生实施SILS脾切除术加脾周去血管化是可行的。它可能具有与自然腔道内镜手术相同的美容优势，并且可能具备传统腹腔镜手术的安全性。据作者所知，这是首例报告。
