Wu Shuodong, Chen Yongsheng, Tian Yu, Jing Kong
Biliary & Vascular Unit, Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, China.
J Laparoendosc Adv Surg Tech A. 2013 Jan;23(1):56-9. doi: 10.1089/lap.2012.0317.
Cure of disease with the least possible injury is an ideal of surgery. Herein we share our experience with transumbilical single-incision laparoscopic multiple organ procedures using conventional instruments.
We reviewed data from 20 patients who underwent transumbilical single-incision laparoscopic surgery of multiple organs between May 2009 and March 2012 at Shengjing Hospital. All 20 patients had laparoscopic cholecystectomy, which was combined with appendectomy in 16 patients, resection of hepatic hemangiomas in 2 patients, and partial gastrectomy for gastric mesenchymal tumor in 2 patients. All procedures were successful with conventional laparoscopic instruments placed through a single operating portal of entry created within the umbilicus.
All the operations were successfully completed without conversion to conventional laparoscopic or open surgery. No intraoperative complications occurred. Patients were satisfied with the therapeutic and cosmetic outcomes.
Transumbilical single-incision laparoscopic combined procedures appear to be a technically feasible alternative to standard laparoscopic procedures in simultaneous management of two different coexisting pathologies. Larger studies are required to confirm these findings.
以尽可能小的损伤治愈疾病是外科手术的理想目标。在此，我们分享使用传统器械进行经脐单孔腹腔镜多器官手术的经验。
我们回顾了2009年5月至2012年3月在盛京医院接受经脐单孔腹腔镜多器官手术的20例患者的数据。所有20例患者均接受了腹腔镜胆囊切除术，其中16例联合阑尾切除术，2例肝血管瘤切除术，2例胃间质瘤行胃部分切除术。所有手术均通过脐部单一手术入口置入传统腹腔镜器械成功完成。
所有手术均顺利完成，未中转至传统腹腔镜手术或开放手术。术中无并发症发生。患者对治疗效果和美容效果满意。
经脐单孔腹腔镜联合手术在同时处理两种不同并存病变时，似乎是标准腹腔镜手术在技术上可行的替代方法。需要更大规模的研究来证实这些发现。
