State Scientific Centre of Coloproctology, Salyama Adilya 2, 123423, Moscow, Russia.
Tech Coloproctol. 2012 Jun;16(3):251-3. doi: 10.1007/s10151-012-0809-6. Epub 2012 Feb 23.
We report a case of sigmoid colon resection by single-incision laparoscopic surgery using transvaginal access. The patient was a 54-year-old woman with early stage sigmoid cancer who had no previous surgery and had a body mass index of 23.5 kg/m(2). The operative time was 270 min, and the blood loss was negligible. We used only transvaginal access, since no transabdominal assistance was required. No complications occurred. Minimal postoperative pain and a rapid recovery of gastrointestinal function were observed. As novel equipment is introduced into clinical practice, transvaginal laparoscopic procedures will most likely become increasingly popular in abdominal surgery. In particular, this type of procedure will have a more defined role in colorectal surgery. Indeed, in the future, it may become an alternative for natural orifice transluminal endoscopic surgery.
我们报告一例经阴道入路单切口腹腔镜乙状结肠切除术。患者为 54 岁女性，早期乙状结肠癌，无既往手术史，体质指数为 23.5kg/m(2)。手术时间 270min，出血量可忽略不计。我们仅使用经阴道入路，因为无需经腹辅助。无并发症发生。术后疼痛轻微，胃肠功能恢复迅速。随着新型设备引入临床实践，经阴道腹腔镜手术很可能在腹部外科中越来越受欢迎。特别是，这种手术在结直肠手术中可能会有更明确的作用。事实上，在未来，它可能成为经自然腔道内镜手术的替代方法。
