Single-incision laparoscopic cholecystectomy:Single institution experience and literature review

查看全文 作　　者：Yasumitsu [1]Hirano;Toru [1]Watanabe;Tsuneyuki [1]Uchida;Shuhei [1]Yoshida;Kanae [1]Tawaraya;Hideaki [1]Kato;Osamu [1]Hosokawa 机构地区：[1]Department of Surgery,Yokohama Sakae Kyousai Hospital,132 Katsura-cho,Sakae-ku,Yokohama,Kanagawa 247-8581,Japan 出　　处：《World Journal of Gastroenterology》索引2010年第16卷第2期,共5页 摘　　要：Single-incision laparoscopic surgery is a rapidly evolving field as a bridge between traditional laparoscopic surgery and natural orifice transluminal endoscopic surgery.We report one of the initial clinical experiences in Japan with this new technique.Four cases of gallbladder diseases were selected for this new technique.A single curved intra-umbilical 25-mm incision was made by pulling out the umbilicus.A 12-mm trocar was placed through an open approach,and the abdominal cavity was explored with a 10-mm semiflexible laparoscope.Two 5-mm ports were inserted laterally from the laparoscope port.A 2-mm mini-loop retractor was inserted to retract the fundus of the gallbladder.Dissection was performed using an electric cautery hook and an Endograsper roticulator.There were two women and two men with a mean age of 50.5 years(range:40-61 years).All procedures were completed successfully without any perioperative complications.In all cases,there was no need to extend the skin incision.Average operative time was 88.8 min.Postoperative follow-up didnot reveal any umbili-cal wound complication.Single-incision laparoscopic cholecystectomy is feasible and a promising alternative method as scarless abdominal surgery for the treatment of some patients with gallbladder disease. 关 键 词：Laparoscopic Cholecystectomy INCISION Single-incision laparoscopic cholecystectomy Singleincision laparoscopic surgery Single-incision endoscopic surgery Minimally invasive surgery