Kameyama Noriaki, Kishida Norihiro, Seo Yuki, Tabuchi Satoshi, Yamashita Toshiki
Department of Digestive Surgery, Tachikawa Hospital, Tokyo, Japan.
Surg Technol Int. 2016 Oct 26;29:141-145.
Single-port laparoscopic surgery is gaining increased attention because of its superiority in terms of cosmesis. A 1.5 cm vertical transumbilical incision is used for the single port, which is created by the glove method. We began applying single-port surgery to hernia repair in 2010, at which time we used the transabdominal preperitoneal (TAPP) approach. We began applying the totally extraperitoneal peritoneal (TEP) approach in 2013. Single-port TEP repair is now our standard procedure for inguinal hernia repair, and we consider it to be indicated for all cases of inguinal hernia unless the hernia has occurred during pregnancy, the patient is assigned to American Society of Anesthesiologists (ASA) class 3/4, or ascites due to liver cirrhosis is present. Provided herein is a step-by-step description of our single glove-port TEP hernia repair procedure, tips that facilitate the procedure, and a brief summary of the 102 cases in which we have performed TEP repair.
单孔腹腔镜手术因其在美容方面的优势而越来越受到关注。单孔采用经脐 1.5 cm 垂直切口，通过手套法建立。我们于 2010 年开始将单孔手术应用于疝修补术，当时采用经腹腹膜前（TAPP）入路。2013 年开始应用完全腹膜外（TEP）入路。单孔 TEP 修补术目前是我们腹股沟疝修补的标准术式，我们认为除妊娠期间发生疝、患者美国麻醉医师协会（ASA）分级为 3/4 级或存在肝硬化腹水外，所有腹股沟疝病例均适用。本文详细介绍了我们的单手套孔 TEP 疝修补手术步骤、有助于手术的技巧以及我们进行 TEP 修补的 102 例病例的简要总结。
