Novak Jerica, Petrič Miha, Trotovšek Blaž, Đokić Mihajlo
Department of Abdominal Surgery, Ljubljana University Medical Center, Zaloška cesta 7, 1000 Ljubljana, Slovenia.
The Faculty of Medicine, University of Ljubljana, Vrazov trg 2, 1000 Ljubljana, Slovenia.
Diseases. 2025 Jun 18;13(6):187. doi: 10.3390/diseases13060187.
Single-port laparoscopic hepatectomy is a minimally invasive modality for the treatment of benign and malignant liver lesions. Due to the method's technical challenges, it is suitable for experienced hepatobiliary surgeons and selected groups of patients. The aim of this study was to evaluate the results of a single Slovenian center performing single-port laparoscopic hepatectomy with a literature overview.
A single-center retrospective consecutive case series of the twenty-six patients with liver disease operated with the single-port technique from January 2018 to July 2024 at the Department of Abdominal Surgery at the University Medical Centre, Ljubljana, was performed. Lesions were located in easy-to-treat segments. Operative time, conversion rate, length of hospital stay, and surgical complications were recorded and evaluated.
We performed twenty-six single-port laparoscopic liver resections (median age 63.5, range 31 to 79 years). The mean operative time was 92 ± 31 min. None of the cases were converted to multi-port laparoscopic or open surgery. Safe resection margins were obtained in cases of malignant disease. The mean hospital stay was 4 days. The post-operative complication rate involving intervention was 7% (2/26). The incisional hernia rate was 11.5% (3/26). No life-threatening surgical complications or morbidity were noted.
Single-port laparoscopic hepatectomy is a safe and feasible technique for the resection of benign and malignant liver lesions in the hands of skilled and well-trained hepatobiliary surgeons.
单孔腹腔镜肝切除术是治疗良性和恶性肝脏病变的一种微创方式。由于该方法存在技术挑战，它适用于经验丰富的肝胆外科医生和特定的患者群体。本研究的目的是通过文献综述评估斯洛文尼亚一个中心开展单孔腹腔镜肝切除术的结果。
对2018年1月至2024年7月在卢布尔雅那大学医学中心腹部外科采用单孔技术手术的26例肝病患者进行单中心回顾性连续病例系列研究。病变位于易于治疗的肝段。记录并评估手术时间、中转率、住院时间和手术并发症。
我们进行了26例单孔腹腔镜肝切除术（中位年龄63.5岁，范围31至79岁）。平均手术时间为92±31分钟。无一例转为多孔腹腔镜手术或开放手术。恶性疾病病例均获得了安全的切缘。平均住院时间为4天。需要干预的术后并发症发生率为7%（2/26）。切口疝发生率为11.5%（3/26）。未发现危及生命的手术并发症或发病率。
对于技术熟练且训练有素的肝胆外科医生而言，单孔腹腔镜肝切除术是一种安全可行的技术，可用于切除良性和恶性肝脏病变。
