Hattori Kengo, Sato Masahito, Miyauchi Yuya
Department of Pediatric Surgery, The Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka, Japan.
Asian J Endosc Surg. 2012 Nov;5(4):172-5. doi: 10.1111/j.1758-5910.2012.00150.x.
Single-incision laparoscopic surgery (SILS) has been performed on children for various procedures. However, few reports are available about SILS for small bowel resection, particularly involving conventional instruments in the pediatric population. Herein, we report four cases of small bowel resection with single umbilical incision and a three-trocar approach. From October 2010 to September 2011, we performed small bowel resection with SILS on four cases, including a boy with an intestinal duplication cyst and three children with Meckel's diverticulum. An intraumbilical arcuate incision was made to expose the abdominal wall fascia, and one 5-mm and two 3.5-mm trocars were inserted. It was not necessary to extend the initial incision to exteriorize the lesion except in one case in which we applied the so-called Y-V closure plasty. All procedures were successful and did not require conversion, and all patients recovered smoothly without any complications. Small bowel resection using the SILS approach is suitable for these diseases.
单孔腹腔镜手术（SILS）已应用于儿童的各种手术。然而，关于小儿小肠切除术的单孔腹腔镜手术报道较少，尤其是在儿科人群中使用传统器械的情况。在此，我们报告4例经脐单切口及三套管法行小肠切除术的病例。2010年10月至2011年9月，我们对4例患者实施了单孔腹腔镜小肠切除术，其中包括1例患有肠重复囊肿的男孩和3例患有梅克尔憩室的儿童。做脐部弧形切口以暴露腹壁筋膜，插入1个5毫米和2个3.5毫米的套管针。除1例应用所谓的Y-V闭合整形术外，无需延长初始切口来取出病变。所有手术均成功，无需中转，所有患者均顺利康复，无任何并发症。采用单孔腹腔镜手术方法行小肠切除术适用于这些疾病。
