Machado Marcel Autran Cesar, Surjan Rodrigo Cañada Trofo, Makdissi Fábio Ferrari
Arq Gastroenterol. 2013 Oct-Dec;50(4):310-2. doi: 10.1590/S0004-28032013000400013.
Pancreatic surgery is an extremely challenging field, and the management of pancreatic diseases continues to evolve. In the past decade, minimal access surgery is moving towards minimizing the surgical trauma by reducing numbers and size of the port. In the last few years, a novel technique with a single-incision laparoscopic approach has been described for several laparoscopic procedures.
We present a single-port laparoscopic spleen-preserving distal pancreatectomy. To our knowledge, this is the first single-port pancreatic resection in Brazil and Latin America.
A 33-year-old woman with neuroendocrine tumor underwent spleen-preserving distal pancreatectomy via single-port approach. A single-incision advanced access platform with gelatin cap, self-retaining sleeve and wound protector was used.
Operative time was 174 minutes. Blood loss was minimal, and the patient did not receive a transfusion. The recovery was uneventful, and the patient was discharged on postoperative day 4.
Single-port laparoscopic spleen-preserving distal pancreatectomy is feasible and can be safely performed in specialized centers by skilled laparoscopic surgeons.
胰腺手术是一个极具挑战性的领域，胰腺疾病的治疗方法也在不断发展。在过去十年中，微创外科手术正朝着通过减少切口数量和尺寸来最小化手术创伤的方向发展。在过去几年里，一种用于多种腹腔镜手术的单切口腹腔镜技术已被报道。
我们展示了一例单孔腹腔镜保脾远端胰腺切除术。据我们所知，这是巴西和拉丁美洲首例单孔胰腺切除术。
一名33岁患有神经内分泌肿瘤的女性患者通过单孔入路接受了保脾远端胰腺切除术。使用了一种带有明胶帽、自固定套管和伤口保护器的单切口高级手术平台。
手术时间为174分钟。出血量极少，患者未接受输血。恢复过程顺利，患者于术后第4天出院。
单孔腹腔镜保脾远端胰腺切除术是可行的，并且经验丰富的腹腔镜外科医生可以在专业中心安全地进行该手术。
