Miyata Ryohei, Kameyama Noriaki, Tomita Masato, Mitsuhashi Hiroaki, Baba Shigeaki, Amemiya Ryusuke, Amada En
International Goodwill Hospital, Yokohama, Japan.
SAGE Open Med Case Rep. 2015 Jan 21;3:2050313X14568699. doi: 10.1177/2050313X14568699. eCollection 2015.
Emerging concepts of "reduced port surgery" have gained considerable attention from laparoscopic surgeons, including the field of liver resection. To date, 86 cases of single-incision laparoscopic hepatectomy (SILH) have been reported, with commercially available access devices being used in most of these cases. We report herein a use of homemade transumbilical glove port for SILH.
A 39-year-old woman represented giant hepatic hemangioma (9-cm in size) located at the left lateral segment (S2/3). Partial hepatectomy was performed by the glove method via single port access with conventional laparoscopic bipolar forceps, grasper and scissors without the need of any single-port specific devices.
The operative time was 77 minutes, and intraoperative blood loss was 50 mL. The postoperative course was uneventful.
Glove method not only has significant advantages in terms of cost, but also is superior in its versatility, allowing wider range of movements compared to conventional access devices. Taking in consideration its cost effectiveness and versatility, glove method may be a good option for SILH.
“减少端口手术”这一新兴概念已引起包括肝脏切除领域在内的腹腔镜外科医生的广泛关注。迄今为止，已报道了86例单切口腹腔镜肝切除术（SILH），其中大多数病例使用了市售的接入装置。我们在此报告一种用于SILH的自制经脐手套端口的应用。
一名39岁女性，患有位于左外侧段（S2/3）的巨大肝血管瘤（大小为9厘米）。通过手套法经单端口入路，使用传统的腹腔镜双极钳、抓钳和剪刀进行部分肝切除术，无需任何单端口专用设备。
手术时间为77分钟，术中失血50毫升。术后过程顺利。
手套法不仅在成本方面具有显著优势，而且在通用性方面更胜一筹，与传统接入装置相比，其活动范围更广。考虑到其成本效益和通用性，手套法可能是SILH的一个不错选择。
