Takahashi Tsunehiro, Takeuchi Hiroya, Kawakubo Hirofumi, Saikawa Yoshiro, Wada Norihito, Kitagawa Yuko
Keio Cancer Center, Keio University Hospital, Shinjuku-ku, Tokyo, Japan.
Am Surg. 2012 Apr;78(4):447-50.
Since 2010, we have used single-incision laparoscopic surgery (SILS) for patients with a gastric submucosal tumor, as a less invasive alternative to conventional laparoscopy. From September 2010 to January 2011, five patients underwent a local resection for a gastric submucosal tumor using a SILS™ port at Keio University Hospital. We performed partial gastrectomy via the SILS™ port using a 5 mm flexible endoscope, a vessel sealing system, and a stapling device. There were no major intraoperative complications, conversion to laparotomy, or cases of tumor rapture. The average operative time was 89 (range, 72-129) minutes with minimal blood loss. Pathological examination revealed four cases of gastrointestinal stromal tumor and one case of inflammatory fibrosis caused by nonspecific inflammation. Although we examined only a small number of cases in this study, the results suggested that SILS gastrectomy can be performed safely and effectively for gastrointestinal stromal tumor.
自2010年以来，我们已将单切口腹腔镜手术（SILS）用于胃黏膜下肿瘤患者，作为传统腹腔镜手术侵入性较小的替代方法。2010年9月至2011年1月，5例患者在庆应义塾大学医院使用SILS™端口接受了胃黏膜下肿瘤局部切除术。我们通过SILS™端口使用5毫米柔性内窥镜、血管封闭系统和吻合器进行了部分胃切除术。术中无重大并发症、未转为开腹手术，也无肿瘤破裂病例。平均手术时间为89（范围72 - 129）分钟，失血极少。病理检查显示4例胃肠道间质瘤和1例由非特异性炎症引起的炎性纤维化。尽管本研究仅检查了少数病例，但结果表明SILS胃切除术对于胃肠道间质瘤可安全有效地进行。
