Karabicak Ilhan, Karabulut Kagan, Yuruker Savas, Kesicioglu Tugrul, Ozen Necati
Medical Faculty, Department of General Surgery, Ondokuz Mayis University, Atakum, Samsun 55303 Turkey.
Indian J Surg. 2017 Apr;79(2):111-115. doi: 10.1007/s12262-015-1435-0. Epub 2016 Jan 11.
Single-port laparoscopic surgery has the advantage of a hidden scar and reduced abdominal wall trauma. Although single-port laparoscopic surgery is widely performed for other organs, its application is very limited for liver resection. Here, we report our experience with nine patients who underwent single-port laparoscopic liver resection. Nine patients underwent single-port laparoscopic liver resection for the indications of hydatid cyst, hepatocellular carcinoma, and colorectal cancer liver metastasis. Nine patients were successfully treated with single-port laparoscopic surgery. The operative time was between 60 and 240 min. The only operative complication was bleeding up to 650 mL in a patient with cirrhosis. No postoperative complications occurred. All patients were discharged earlier than usual. Single-port laparoscopic liver surgery is a challenging surgery. Surgeon with the experience of laparoscopic liver surgery should perform the single-port laparoscopic liver surgery. It is technically feasible with a good outcome in well-selected patients. Initial cases must be benign lesions to avoid jeopardizing oncological safety.
单孔腹腔镜手术具有瘢痕隐蔽及腹壁创伤小的优点。尽管单孔腹腔镜手术已广泛应用于其他器官，但在肝切除术中的应用却非常有限。在此，我们报告9例接受单孔腹腔镜肝切除术患者的经验。9例患者因肝包虫囊肿、肝细胞癌及结直肠癌肝转移等适应证接受了单孔腹腔镜肝切除术。9例患者均成功接受了单孔腹腔镜手术。手术时间为60至240分钟。唯一的手术并发症是1例肝硬化患者出血达650毫升。无术后并发症发生。所有患者均比平常更早出院。单孔腹腔镜肝手术是一项具有挑战性的手术。有腹腔镜肝手术经验的外科医生应开展单孔腹腔镜肝手术。在精心挑选的患者中，该手术在技术上是可行的，且效果良好。初始病例必须为良性病变，以避免危及肿瘤学安全性。
