Inaki Noriyuki
Department of Gastroenterological Surgery, Ishikawa Prefectural Central Hospital, Kanazawa, Japan.
Asian J Endosc Surg. 2015 Feb;8(1):1-10. doi: 10.1111/ases.12163. Epub 2014 Dec 12.
Reduced port laparoscopic surgery has been used increasingly. It is a concept that has grown out of the various efforts aimed at minimally invasive surgery, with SILS being the ultimate reduced port technique. Reduced port laparoscopic surgery has been used to perform sleeve gastrectomy in bariatric surgery and excision of benign gastric submucosal tumor, applications that generally do not require lymph node dissection or complicated reconstruction. It can be done safely, result in a permanent cure, and offer good cosmetic outcomes. Reduced port laparoscopic surgery for gastric cancer has a short history, and its usefulness has not yet been fully established. This review describes the present situation and challenges faced as well as standardized procedures and the future prospects of reduced port laparoscopic gastrectomy for gastric cancer, which my team performs almost daily. These aspects of reduced port laparoscopic surgery are presented in light of the literature.
单孔腹腔镜手术的应用越来越广泛。它是在各种旨在实现微创手术的努力中发展起来的一个概念，单孔腹腔镜手术（SILS）是终极的单孔技术。单孔腹腔镜手术已被用于减重手术中的袖状胃切除术以及良性胃黏膜下肿瘤的切除，这些应用通常不需要淋巴结清扫或复杂的重建。它可以安全地进行，实现根治，并具有良好的美容效果。单孔腹腔镜胃癌手术的历史较短，其有效性尚未完全确立。本综述描述了我团队几乎每天都在进行的单孔腹腔镜胃癌切除术的现状、面临的挑战、标准化手术步骤以及未来前景。本文将结合文献介绍单孔腹腔镜手术的这些方面。
