Far Sasan Saeed, Miraj Sepide
MD of General Surgery, Instructor, Molecular and Cellular Research Center, Kashan University of Medical Sciences, Kashan, Iran.
M.D., Gynecologist, Fellowship of Infertility, Assistant Professor, Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Electron Physician. 2016 Oct 25;8(10):3088-3095. doi: 10.19082/3088. eCollection 2016 Oct.
Laparoscopic surgery is a modern surgical technique in which operations are performed far from their location through small incisions elsewhere in the body.
This systematic review is aimed to overview single-incision laparoscopy surgery.
This systematic review was carried out by searching studies in PubMed, Medline, Web of Science, and IranMedex databases. The initial search strategy identified about 87 references. In this study, 54 studies were accepted for further screening and met all our inclusion criteria [in English, full text, therapeutic effects of single-incision laparoscopy surgery and dated mainly from the year 1990 to 2016]. The search terms were "single-incision," "surgery," and "laparoscopy."
Single-incision laparoscopy surgery is widely used for surgical operations in cholecystectomy, sleeve gastrectomy, cholecystoduodenostomy, hepatobiliary disease, colon cancer, obesity, appendectomy, liver surgery, rectosigmoid cancer, vaginal hysterectomy, vaginoplasty, colorectal lung metastases, pyloroplasty, endoscopic surgery, hernia repair, nephrectomy, rectal cancer, colectomy and uterus-preserving repair, bile duct exploration, ileo-ileal resection, lymphadenectomy, incarcerated inguinal hernia, anastomosis, congenital anomaly, colectomy for cancer.
Based on the findings, single-incision laparoscopy surgery is a scarless surgery with minimal access. Although it possesses lots of benefits, including less incisional pain and scars, cosmesis, and the ability to convert to standard multiport laparoscopic surgery, it has some disadvantages, for example, less freedom of movement, fewer number of ports that can be used, and the proximity of the instruments to each other during the operation.
腹腔镜手术是一种现代外科技术，通过身体其他部位的小切口在远离手术部位的地方进行手术。
本系统评价旨在概述单孔腹腔镜手术。
通过检索PubMed、Medline、科学网和伊朗医学数据库中的研究进行本系统评价。初步检索策略识别出约87篇参考文献。在本研究中，54项研究被接受进一步筛选并符合我们所有的纳入标准[英文、全文、单孔腹腔镜手术的治疗效果且主要发表于1990年至2016年]。检索词为“单孔”“手术”和“腹腔镜检查”。
单孔腹腔镜手术广泛应用于胆囊切除术、袖状胃切除术、胆囊十二指肠吻合术、肝胆疾病、结肠癌、肥胖症、阑尾切除术、肝脏手术、直肠乙状结肠癌、阴道子宫切除术、阴道成形术、结直肠癌肺转移、幽门成形术、内镜手术、疝修补术、肾切除术、直肠癌、结肠切除术和保留子宫的修复术、胆管探查、回肠-回肠切除术、淋巴结清扫术、嵌顿性腹股沟疝、吻合术、先天性异常、癌症结肠切除术等外科手术。
基于研究结果，单孔腹腔镜手术是一种微创无痕手术。尽管它有许多优点，包括切口疼痛和瘢痕少、美观，以及能够转换为标准的多端口腹腔镜手术，但它也有一些缺点，例如活动自由度较小、可用端口数量较少，以及手术过程中器械彼此靠近。
