Ragupathi Madhu, Nieto Javier, Haas Eric M
Colorectal Surgical Associates Ltd, LLP, Houston, TX, USA.
Surg Laparosc Endosc Percutan Tech. 2012 Jun;22(3):183-8. doi: 10.1097/SLE.0b013e31824e2814.
Single-incision laparoscopic colectomy has developed into a viable option for the treatment of benign and malignant colorectal diseases with the innovation of new access devices, instrumentation, and surgical techniques. Although cosmesis has been highly touted as the most apparent advantage of the approach, the single-incision platform also affords the potential for enhanced recovery, early hospital discharge, and reduction in postoperative wound complications. Despite increasing evidence demonstrating the safety and efficacy of single-incision laparoscopic colectomy, wide-ranging adaptation has been tempered in part as a result of the technical demands of the approach. We aim to describe our surgical pearls for overcoming various pitfalls and technical challenges experienced during single-incision laparoscopic colectomy to facilitate successful application of this technique.
随着新型接入设备、器械和手术技术的创新，单切口腹腔镜结肠切除术已发展成为治疗良性和恶性结直肠疾病的一种可行选择。尽管美观一直被高度吹捧为该手术方法最明显的优势，但单切口平台也具有促进恢复、早期出院和减少术后伤口并发症的潜力。尽管越来越多的证据表明单切口腹腔镜结肠切除术的安全性和有效性，但由于该手术方法的技术要求，其广泛应用在一定程度上受到了限制。我们旨在描述我们的手术技巧，以克服单切口腹腔镜结肠切除术中遇到的各种陷阱和技术挑战，从而促进该技术的成功应用。
