Nonaka Takashi, Hidaka Shigekazu, Takafumi Abo, Fukuoka Hidetoshi, Takeshita Hiroaki, Atsushi Nanashima, Sawai Terumitsu, Yasutake Toru, Nagayasu Takeshi
Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Surg Laparosc Endosc Percutan Tech. 2012 Aug;22(4):e210-3. doi: 10.1097/SLE.0b013e318253dd1d.
Single-incision laparoscopic surgery (SILS) offers excellent cosmetic results and may be associated with decreased postoperative pain and accelerated recovery. Although there have been reports of cholecystectomy and appendectomy using SILS, there have been few reports of gastric resection with intracorporeal reconstruction of the digestive tract using SILS. The first single-incision laparoscopic gastrectomy with intracorporeal reconstruction is reported.
Preliminary experience with single-incision laparoscopic gastrectomy with intracorporeal reconstruction for a patient with an intractable gastric ulcer is reported.
Single-incision laparoscopy-assisted subtotal gastrectomy and Roux-en-Y reconstruction were performed. Operative time for gastrectomy and paraduodenal hernioplasty was 412 minutes, and blood loss was 90 g. No intraoperative or postoperative complications developed.
Single-incision laparoscopy-assisted gastrectomy for intractable gastric ulcer is technically feasible. Intracorporeal reconstruction of the digestive tract was performed safely using a linear endoscopic stapler. This surgical approach is a further advance toward scarless surgery of the stomach.
单切口腹腔镜手术（SILS）具有出色的美容效果，可能与术后疼痛减轻和恢复加速有关。尽管已有使用SILS进行胆囊切除术和阑尾切除术的报道，但使用SILS进行胃切除并在体内重建消化道的报道却很少。本文报道了首例单切口腹腔镜胃切除并体内重建手术。
报道了对一名患有顽固性胃溃疡的患者进行单切口腹腔镜胃切除并体内重建的初步经验。
实施了单切口腹腔镜辅助胃大部切除术和Roux-en-Y重建术。胃切除术和十二指肠旁疝修补术的手术时间为412分钟，失血量为90克。未发生术中或术后并发症。
单切口腹腔镜辅助治疗顽固性胃溃疡在技术上是可行的。使用线性内镜吻合器安全地进行了消化道的体内重建。这种手术方法是向胃的无痕手术又迈进了一步。
