单孔腹腔镜手术:内镜手术的新进展  

Single Port Laparoscopic Surgery,The New Evolution of Endoscopic Surgery

作　　者：Homero Rivas 王永坤[2] 朱江帆[2] 

机构地区：[1]Department of Surgery,Division of Gastrointestinal and Endocrine Surgery,University of Texas Southwestern [2]同济大学附属东方医院普外科,上海200120

出　　处：《中国微创外科杂志》2009年第12期1063-1065,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的单孔腹腔镜手术在世界上引起了广泛的兴趣和关注。本文结合临床资料介绍我们自己的经验。材料与方法对2008年1月～2009年8月100例单孔胆囊切除资料进行分析,评估这种手术的技术要点、学习曲线、常见问题和解决方法。结果本组实验所有病人均经过术前评估,单孔腹腔镜手术均成功实施。经过50例手术后,平均手术时间与常规腹腔镜手术基本相同。术中常见的问题包括器械之间的冲突、腹腔镜与光纤之间的冲突、器官显露困难。单孔腹腔镜手术不仅具有传统腹腔镜手术的优点,而且其良好的美容效果是传统腔镜手术不具备的。结论单孔腹腔镜手术在世界上逐渐流行。一旦掌握其基本要点,学习曲线可能会缩短。与病人良好的交流以及手术组的密切配合是其成功的基本保证。我们的研究还只是在探索时期,随着技术不断成熟,必然会得到广泛应用。Introduction Laparoscopic surgery through a single port is gaining great interest throughout the world.Here we describe our experience based on a model of single port laparoscopic cholecystectomy.Materials and Methods From January,2008 until August of 2009,we analyze a cohort of the initial one hundred cholecystectomies,to evaluate a proposed technique,common challenges,learning curve and potential solutions.Results Single port laparoscopic surgery was feasible in all patients from this cohort.Patients were strictly selected.Common technical challenges include clashing of instruments,deflection of laparoscope due to conflict with light source,organ retraction,etc.Excellent aesthetic results are superior to laparoscopy.Other benefits of laparoscopy are preserved and may prove to be superior on clinical trials.Conclusion Single port laparoscopic surgery is becoming popular worldwide.Once these essentials are mastered,a learning curve may be shortened especially for experienced laparoscopic surgeons.Transparency with patients and team building are essential requirements for a successful adoption.Clinical trials are ideal before universal adoption.

关 键 词：单孔腹腔镜手术 SILS LESS NOTES TUES SPA 胆囊切除术 

分 类 号：R616[医药卫生—外科学]