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使用四通道单孔法行单切口腹腔镜胃癌全胃切除术及D2淋巴结清扫术：首例经验

Single incision laparoscopic total gastrectomy and d2 lymph node dissection for gastric cancer using a four-access single port: the first experience.

作者信息

Ertem Metin, Ozveri Emel, Gok Hakan, Ozben Volkan

机构信息

General Surgery Clinic, Kozyatagi Acibadem Hospital, 34742 Istanbul, Turkey ; Department of General Surgery, Cerrahpasa Medical Faculty, Istanbul University, Cerrahpasa, Fatih, 34098 Istanbul, Turkey.

出版信息

Case Rep Surg. 2013;2013:504549. doi: 10.1155/2013/504549. Epub 2013 Aug 25.

DOI:10.1155/2013/504549
PMID:24062964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3767002/
Abstract

Single incision laparoscopic surgery (SILS) and natural orifice transluminal endoscopic surgery (NOTES) have been developed to reduce the invasiveness of laparoscopic surgery. SILS has been frequently applied in various clinical settings, such as cholecystectomy, colectomy, and sleeve gastrectomy. So far, there have been four reports on single incision laparoscopic distal gastrectomy and one report on single incision laparoscopic total gastrectomy with D1 lymph node dissection for gastric cancer. In this report, we present our single incision laparoscopic total gastrectomy with D2 lymph node dissection technique using a four-hole single port (OctoPort) in a patient with gastric cancer.

摘要

单孔腹腔镜手术（SILS）和经自然腔道内镜手术（NOTES）已被开发出来以降低腹腔镜手术的侵入性。SILS已被频繁应用于各种临床场景，如胆囊切除术、结肠切除术和袖状胃切除术。到目前为止，已有4篇关于单孔腹腔镜远端胃癌切除术的报道，以及1篇关于单孔腹腔镜全胃切除术联合D1淋巴结清扫治疗胃癌的报道。在本报告中，我们介绍了我们使用四孔单端口（OctoPort）对一名胃癌患者实施单孔腹腔镜全胃切除术联合D2淋巴结清扫的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/73e2389a6d31/CRIM.SURGERY2013-504549.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/1797f89eb860/CRIM.SURGERY2013-504549.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/42cdf65673db/CRIM.SURGERY2013-504549.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/f91d554c7a80/CRIM.SURGERY2013-504549.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/5c0ded230731/CRIM.SURGERY2013-504549.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/149cffc5a98b/CRIM.SURGERY2013-504549.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/72b4f3172cb5/CRIM.SURGERY2013-504549.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/26242b3807e8/CRIM.SURGERY2013-504549.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/73e2389a6d31/CRIM.SURGERY2013-504549.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/1797f89eb860/CRIM.SURGERY2013-504549.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/42cdf65673db/CRIM.SURGERY2013-504549.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/f91d554c7a80/CRIM.SURGERY2013-504549.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/5c0ded230731/CRIM.SURGERY2013-504549.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/149cffc5a98b/CRIM.SURGERY2013-504549.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/72b4f3172cb5/CRIM.SURGERY2013-504549.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/26242b3807e8/CRIM.SURGERY2013-504549.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e8/3767002/73e2389a6d31/CRIM.SURGERY2013-504549.008.jpg

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Single port totally extraperitoneal (STEP) hernia repair: improving the benefits of one-day surgery setting.
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