Yamana Ippei, Ohishi Jun, Hashimoto Tatsuya, Tani Hiroki, Fuchino Yasuhide, Ohtani Hiroshi, Hasegawa Suguru
Department of Surgery, Hakujyuji Hospital, 3-2-1, Ishimaru, Nishi-ku, Fukuoka, 819-8511, Japan.
Department of Surgery, Hakujyuji Hospital, 3-2-1, Ishimaru, Nishi-ku, Fukuoka, 819-8511, Japan.
Int J Surg Case Rep. 2021 Feb;79:24-27. doi: 10.1016/j.ijscr.2020.12.033. Epub 2020 Dec 24.
Reduced port laparoscopic surgery using an umbilical zigzag incision is comparable to conventional multiport laparoscopic surgery. This method is associated with improved cosmesis and decreased wound pain.
A 67-year-old man visited our hospital. He presented emergency room with a chief complaint of right lower abdominal pain by walking. The patient was diagnosed Meckel's diverticulitis by computed tomography (CT). At first, antibiotics therapy and fasting were performed. Three months later, the patient underwent resection of Meckel' diverticulum with zigzag transumbilical laparoscopic surgery. The patient's postoperative course was good, and he rarely felt wound pain. The patient started oral intake three days after surgery, and was discharged 10 days after surgery.
Zigzag transumbilical laparoscopic surgery is very useful for resection of the small intestine. This method is associated with improved cosmesis and decreased wound pain. In the case of Meckel's diverticulitis, we suggest that interval resection of Meckel's diverticulum was very useful as it was an operation that could be performed easily.
Reduced port laparoscopic surgery using an umbilical zigzag incision is considered to be an excellent technique in terms of operability and aesthetic outcomes.
采用脐部锯齿状切口的减少端口腹腔镜手术与传统多端口腹腔镜手术效果相当。该方法具有改善美容效果和减轻伤口疼痛的优点。
一名67岁男性前来我院就诊。他因行走时右下腹痛为主诉就诊于急诊室。通过计算机断层扫描（CT）诊断为梅克尔憩室炎。起初，进行了抗生素治疗和禁食。三个月后，患者接受了经脐锯齿状腹腔镜手术切除梅克尔憩室。患者术后恢复良好，很少感到伤口疼痛。患者术后三天开始经口进食，术后十天出院。
经脐锯齿状腹腔镜手术对于小肠切除非常有用。该方法具有改善美容效果和减轻伤口疼痛的优点。对于梅克尔憩室炎，我们认为间隔切除梅克尔憩室非常有用，因为这是一种易于实施的手术。
采用脐部锯齿状切口进行减少端口腹腔镜手术在可操作性和美学效果方面被认为是一种出色的技术。
