Özkurt Enver, Barbaros Umut, Aksakal Nihat, Doğan Selim, Bozbora Alp
Department of General Surgery, Dana Farber Cancer Institute Harvard Medical School, Boston, United States.
Department of General Surgery, Istanbul University Faculty of Medicine, Istanbul University, İstanbul, Turkey.
Turk J Surg. 2020 Dec 29;36(4):353-358. doi: 10.47717/turkjsurg.2020.4795. eCollection 2020 Dec.
Over the last decade, surgeons have started to think of the ways in which to further reduce the trauma of surgery and improve cosmesis. Consequently, many surgeons have yielded to single incision laparoscopic surgeries (SILS) in order to maximize operative and postoperative outcomes. This study aimed to highlight the feasibility and challenges of different procedures by presenting our data about different fields of abdominal SILS practices with long term follow-up.
We retrospectively analysed an observational cohort of 155 patients who underwent surgery for different indications using the SILS technique.
Of the 155 SILS procedures: 75 (48.4%) were cholecystectomies; 22 (14.2%) were splenectomies; 17 (11%) were hernia repairs; 11 (7.1%) were appendectomies; 8 (5.2%) were partial colon resections; 8 (5.2%) were adrenalectomies; 6 (3.8%) were distal pancreatectomy & splenectomies; 3 (1.9%) were subtotal gastrectomies; 3 (1.9%) were partial liver resections; and 2 (1.3%) were Nissen fundoplications. Ten (6.5%) early and 3 (1.9%) late postoperative complications were detected. No mortality or late morbidity (> 30 days) was detected due to SILS procedures.
SILS is a feasible technique in experienced hands for specific procedures. Meticulous patient selection is also important for good cosmetic results and outcomes.
在过去十年中，外科医生开始思考如何进一步减少手术创伤并改善美容效果。因此，许多外科医生采用了单切口腹腔镜手术（SILS），以实现最佳的手术和术后效果。本研究旨在通过展示我们在腹部SILS不同领域的长期随访数据，突出不同手术方法的可行性和挑战。
我们回顾性分析了155例因不同适应证接受SILS技术手术的患者的观察队列。
在155例SILS手术中：75例（48.4%）为胆囊切除术；22例（14.2%）为脾切除术；17例（11%）为疝修补术；11例（7.1%）为阑尾切除术；8例（5.2%）为部分结肠切除术；8例（5.2%）为肾上腺切除术；6例（3.8%）为远端胰腺切除术及脾切除术；3例（1.9%）为胃大部切除术；3例（1.9%）为部分肝切除术；2例（1.3%）为nissen胃底折叠术。检测到10例（6.5%）早期和3例（1.9%）晚期术后并发症。未检测到因SILS手术导致的死亡或晚期发病率（>30天）。
对于特定手术，SILS在经验丰富的医生手中是一种可行的技术。精心选择患者对于获得良好的美容效果和手术结果也很重要。
