500例单孔腹腔镜结直肠手术病例回顾——经验教训
Review of 500 single incision laparoscopic colorectal surgery cases - Lessons learned.
作者信息
Keller Deborah S, Flores-Gonzalez Juan R, Ibarra Sergio, Haas Eric M
机构信息
Deborah S Keller, Juan R Flores-Gonzalez, Sergio Ibarra, Eric M Haas, Colorectal Surgical Associates, Houston, TX 77054, United States.
出版信息
World J Gastroenterol. 2016 Jan 14;22(2):659-67. doi: 10.3748/wjg.v22.i2.659.
Abstract
Single incision laparoscopic surgery (SILS) is a minimally invasive platform with specific benefits over traditional multiport laparoscopic surgery. The safety and feasibility of SILS has been proven, and the applications continue to grow with experience. After 500 cases at a high-volume, single-institution, we were able to standardize instrumentation and operative steps, as well as develop adaptations in technique to help overcome technical and ergonomic challenges. These technical adaptations have allowed the successful application of SILS to technically difficult patient populations, such as pelvic cases, inflammatory bowel disease cases, and high body mass index patients. This review is a frame of reference for the application and wider integration of the single incision laparoscopic platform in colorectal surgery.
摘要
单孔腹腔镜手术（SILS）是一种微创平台，与传统多孔腹腔镜手术相比具有特定优势。SILS的安全性和可行性已得到证实，且随着经验积累其应用不断增加。在一家大型单机构完成500例手术后，我们能够规范器械和手术步骤，并改进技术以帮助克服技术和人体工程学方面的挑战。这些技术改进使得SILS能够成功应用于技术难度较大的患者群体，如盆腔病例、炎症性肠病病例和高体重指数患者。本综述为单孔腹腔镜平台在结直肠手术中的应用及更广泛整合提供了参考框架。
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