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使用手术手套端口进行单孔腹腔镜手术:25例初步经验

Single-port laparoscopic surgery by use of a surgical glove port: initial experience with 25 cases.

作者信息

Orozakunov E, Akyol C, Kayilioglu S I, Tantoglu U, Basceken Si, Cakmak A

出版信息

Chirurgia (Bucur). 2013 Sep-Oct;108(5):670-2.

PMID:24157110
Abstract

BACKGROUND

single-port laparoscopic surgery has gained popularity over the last decade. This technique is used for several surgical procedures. This paper documents a new and cheaper access method known as "surgical glove port" or "homemade single-port", and describes our initial experience with 25 cases.

METHOD

Eleven cholecystectomies, eight totally extraperitoneal inguinal hernia repairs, three splenectomies, two gastric wedge resections, and one anti-reflux procedure were performed.

RESULTS

Twenty-four procedures out of twenty-five were completed without conversion to open or multiple port techniques. An individual patient who had both cholelithiasis and gastrointestinal stromal tumor underwent both cholecystectomy and gastric wedge resection in the same session with surgical glove port technique. In another case two additional 5-mm incisions were made for hemostasis. The additional operation was required and performed by using surgical glove port for a hiatal hernia repair case, because of postoperative hemorrhage.

CONCLUSION

Single-port laparoscopic surgery is an applicable technique for plenty of surgical procedures. Also, surgical glove port is a newer technique and some initial experience shave already published all over the world. Surgical glove port has advantages such as cost-effectiveness, easy and safe port implantation and specimen extraction. SGP can also be used for treating post-operative complications.

摘要

背景

在过去十年中,单孔腹腔镜手术越来越受欢迎。该技术用于多种外科手术。本文记录了一种新的、更便宜的进入方法,即“手术手套端口”或“自制单孔”,并描述了我们对25例患者的初步经验。

方法

进行了11例胆囊切除术、8例完全腹膜外腹股沟疝修补术、3例脾切除术、2例胃楔形切除术和1例抗反流手术。

结果

25例手术中有24例无需转为开放手术或多孔技术即可完成。一名患有胆结石和胃肠道间质瘤的患者在同一次手术中采用手术手套端口技术进行了胆囊切除术和胃楔形切除术。在另一例中,为了止血又做了两个5毫米的切口。由于术后出血,一名食管裂孔疝修补病例需要额外手术,并采用手术手套端口进行。

结论

单孔腹腔镜手术适用于多种外科手术。此外,手术手套端口是一种较新的技术,世界各地已经发表了一些初步经验。手术手套端口具有成本效益、端口植入简便安全以及标本取出容易等优点。手术手套端口还可用于治疗术后并发症。

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