Cabras Francesco, Fabrizio Lazzara, Bracale Umberto, Andreuccetti Jacopo, Pignata Giusto
General and Mini-Invasive Surgery, "San Camillo" Hospital, Trento, Italy.
General and Mini-Invasive Surgery, "San Camillo" Hospital, Trento, Italy ; Department of Surgery, University of Naples "Federico II", Naples, Italy.
Wideochir Inne Tech Maloinwazyjne. 2014 Dec;9(4):632-3. doi: 10.5114/wiitm.2014.44137. Epub 2014 Jul 19.
Minimally invasive techniques have been introduced to reduce morbidity related to standard laparoscopic procedures. One such approach is laparoendoscopic single-site surgery. The aim of the study was to present our initial clinical experience of using this technique for elective splenectomy. We carried out single access laparoscopic splenectomy (SALS) for an 8 cm cystic lesion of the spleen, involving the hilum, on a 38-year-old woman. The procedure was performed with a single-port device (4-channel) via a 2.5-cm umbilical incision. A flexible 5-mm optic and straight laparoscopic instruments were used. The operative time was 75 min. There was no blood loss. No complications were observed. The postoperative period was uneventful. Although substantial development of the instruments and skills is needed, this SALS technique appears to be feasible and safe. Nevertheless, further experience and observations are necessary.
微创技术已被引入以降低与标准腹腔镜手术相关的发病率。其中一种方法是腹腔镜单孔手术。本研究的目的是介绍我们使用该技术进行择期脾切除术的初步临床经验。我们对一名38岁女性进行了单通道腹腔镜脾切除术（SALS），该患者脾脏有一个8厘米的囊性病变，累及脾门。手术通过一个2.5厘米的脐部切口使用单孔装置（4通道）进行。使用了一个5毫米的可弯曲光学镜头和直的腹腔镜器械。手术时间为75分钟。无失血。未观察到并发症。术后过程顺利。尽管需要器械和技术有实质性的发展，但这种SALS技术似乎是可行且安全的。然而，还需要进一步的经验和观察。
