Dapri Giovanni, Barabino Matteo, Carnevali Pietro, Surdeanu Ion, Himpens Jacques, Cadière Guy-Bernard, Donckier Vincent
Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium.
JSLS. 2012 Apr-Jun;16(2):296-300. doi: 10.4293/108680812x13427982377300.
Single-access laparoscopy has garnered growing interest in recent years in an attempt to improve cosmesis, reduce postoperative pain, and minimize abdominal wall trauma.
A female patient suffering from a symptomatic giant biliary cyst of the liver segments 4-7-8 was admitted for transumbilical single-access laparoscopic cyst unroofing. The procedure was performed using a standard 11-mm reusable trocar for a 10-mm, 30 degree-angled, rigid scope and curved reusable instruments inserted transumbilically without trocars. Operative time was 90 minutes, and the final incision length was 14 mm. The use of minimal pain medication permitted discharge on the third postoperative day, and after 25 months, the patient remains asymptomatic with a no visible umbilical scar.
Giant biliary cysts can be removed by single-access laparoscopy. Because of this technique, surgeons work in ergonomic positions, and the cost of the procedure remains similar to that of the multitrocar technique. The incision length and the use of pain medication are kept minimal as well.
近年来，单孔腹腔镜手术越来越受到关注，旨在改善美观效果、减轻术后疼痛并减少腹壁创伤。
一名患有4 - 7 - 8肝段有症状巨大胆管囊肿的女性患者因经脐单孔腹腔镜囊肿开窗引流术入院。该手术使用标准的11毫米可重复使用套管针用于10毫米、30度角的硬性腹腔镜，并经脐插入可弯曲的可重复使用器械，无需套管针。手术时间为90分钟，最终切口长度为14毫米。使用极少的止痛药物使患者术后第三天即可出院，25个月后，患者仍无症状，脐部无可见疤痕。
巨大胆管囊肿可通过单孔腹腔镜手术切除。由于该技术，外科医生可以在符合人体工程学的位置操作，并且手术成本与多孔技术相似。切口长度和止痛药物的使用也保持在最低限度。
