Sasaki Kazunari, Watanabe Goro, Matsuda Masamichi, Hashimoto Masaji
Department of Digestive Surgery, Hepato Pancreato Billiary Surgery Unit, Toranomon Hospital, Tokyo, Japan.
Surg Laparosc Endosc Percutan Tech. 2012 Apr;22(2):108-13. doi: 10.1097/SLE.0b013e3182456e3b.
To maintain operative safety, patient selection criteria for single-incision laparoscopic cholecystectomy (SILC) are more stringent than that for traditional laparoscopic cholecystectomy (TLC). No other method could demonstrate the same feasibility and safety as TLC because the patient selection criteria were too restrictive for SILC to compare with TLC. In this study, we conducted a comparative study between our original SILC and TLC for demonstrating similar feasibility and safety among patients who had the same selection criteria as that for TLC. A statistical comparison between 114 patients of SILC and 201 patients of TLC was conducted during the same time period. The preoperative patient characteristics for SILC and TLC showed no statistical difference. In the operative result analysis, a significant disadvantage of SILC was the prolongation of operative time by only 15 minutes. The original SILC was as feasible and safe as TLC and virtually scarless cholecystectomy could be performed without any selection criteria. This was performed using only 2 trocars from an umbilical incision and 2 incisionless extracorporeal retraction devices.
为确保手术安全，单孔腹腔镜胆囊切除术（SILC）的患者选择标准比传统腹腔镜胆囊切除术（TLC）更为严格。由于SILC的患者选择标准过于严格，无法与TLC进行比较，因此没有其他方法能证明其与TLC具有相同的可行性和安全性。在本研究中，我们对我们最初开展的SILC和TLC进行了一项对比研究，以证明在具有与TLC相同选择标准的患者中，二者具有相似的可行性和安全性。在同一时期，对114例SILC患者和201例TLC患者进行了统计学比较。SILC和TLC的术前患者特征无统计学差异。在手术结果分析中，SILC的一个显著劣势是手术时间仅延长了15分钟。最初开展的SILC与TLC一样可行且安全，并且无需任何选择标准即可实施几乎无瘢痕的胆囊切除术。这仅通过脐部切口的2个套管针和2个无切口体外牵开装置来完成。
