Ban Daisuke, Kudo Atsushi, Irie Takumi, Ochiai Takanori, Aihara Arihiro, Matsumura Satoshi, Tanaka Shinji, Tanabe Minoru
Department of Hepatobiliary-Pancreatic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Asian J Endosc Surg. 2015 Feb;8(1):11-5. doi: 10.1111/ases.12164. Epub 2014 Dec 15.
Reduced port surgery has been attracting attention in the field of minimally invasive surgery. Although the use of SILS is becoming widespread, technical difficulty has delayed its adoption for laparoscopic liver resection. Recently, advances in laparoscopic liver resection have been made in tandem with advances in surgical skill and devices. The main driver in conventional laparoscopic liver resection's evolution to become less surgically invasive seems to be single-incision laparoscopic liver resection (SILLR). To date, most reports on SILLR have been single case reports or case series. Only a few cohort studies on conventional laparoscopic surgery and SILLR have been conducted. Recent reports have described the use of SILLR for well-localized lesions and solitary tumors located in the anterolateral segments of the liver or left liver lobe, but its application remains limited to partial resection and left lateral sectionectomy. The feasibility and safety of SILLR have been demonstrated, but additional work is needed for standardization of the procedure.
减少切口手术在微创手术领域一直备受关注。尽管单孔腹腔镜手术（SILS）的应用越来越广泛，但其技术难度延缓了其在腹腔镜肝切除术中的采用。最近，腹腔镜肝切除术的进展与手术技巧和设备的进步同步进行。传统腹腔镜肝切除术向手术侵袭性更小方向发展的主要驱动力似乎是单切口腹腔镜肝切除术（SILLR）。迄今为止，关于SILLR的大多数报告都是单病例报告或病例系列。仅进行了少数关于传统腹腔镜手术和SILLR的队列研究。最近的报告描述了SILLR用于肝脏前外侧段或左肝叶中定位良好的病变和孤立肿瘤，但其应用仍局限于部分切除术和左外侧段切除术。SILLR的可行性和安全性已得到证实，但该手术的标准化还需要更多工作。
