Barbieri Lavinia Alessandra, Bona Davide, Aiolfi Alberto, Micheletto Giancarlo, Cavalli Marta, Lombardo Francesca, Bruni Piero Giovanni, Campanelli Giampiero
General Surgery Department, Istituto Clinico Sant'Ambrogio, Milan, Italy.
Minimally-invasive Surgery, General Surgery Department, Istituto Clinico Sant'Ambrogio, Milan, Italy.
Surg Technol Int. 2017 Dec 22;31:101-104.
The laparoscopic approach of the upper gastrointestinal tract is considered the gold standard for the treatment of functional benign esophageal disorders since 1990. In recent years, many efforts have been made to minimize the abdominal wall's trauma to reduce postoperative pain and to obtain a prompt return to daily activities, as well as improve cosmetic results of surgery. The progressive development of novel surgical devices has allowed for the introduction of new minimally-invasive surgical techniques. Criticism of the single-incision laparoscopic surgery includes a modification of surgical technique and an increased incidence of wound-related complications, such as infections and incisional hernia. We present our early experience using the new MiniLap® Percutaneous Surgical System (Teleflex Incorporated, Wayne, Pennsylvania) to perform a two-trocars laparoscopic percutaneous-assisted esophageal Heller myotomy. We demonstrate that the use of percutaneous instruments was not inferior in terms of clinical outcomes as compared to the standard technique, while improving cosmetic results and reducing trocar-related abdominal pain.
自1990年以来，上消化道的腹腔镜手术方法被认为是治疗功能性良性食管疾病的金标准。近年来，人们做出了许多努力来尽量减少腹壁创伤，以减轻术后疼痛并促使患者迅速恢复日常活动，同时改善手术的美容效果。新型手术器械的不断发展使得新的微创手术技术得以引入。对单切口腹腔镜手术的批评包括手术技术的改变以及伤口相关并发症（如感染和切口疝）发生率的增加。我们介绍了我们使用新型MiniLap®经皮手术系统（泰利福公司，宾夕法尼亚州韦恩）进行双套管腹腔镜经皮辅助食管Heller肌切开术的早期经验。我们证明，与标准技术相比，使用经皮器械在临床结果方面并不逊色，同时改善了美容效果并减轻了与套管针相关的腹痛。
