Single-incision laparoscopic surgery for cholecystectomy: an evolving technique

Single-incision laparoscopic surgery for cholecystectomy: an evolving technique
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DOI:
10.1007/s00464-009-0655-4
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发表时间:
2010-03-01
影响因子:
3.1
通讯作者:
Paraskeva, Paraskevas
Paraskeva, Paraskevas
中科院分区:
医学2区
文献类型:
--
作者:
Chow, Andre;Purkayastha, Sanjay;Paraskeva, Paraskevas

文献摘要

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腹腔镜技术使外科医生能够在最小创伤的情况下进行复杂的腹部手术。最近的创新者率先使用了单切口腹腔镜手术(SILS),这种手术有可能进一步减少手术入路的创伤。本文报道了作者施行SILS手术的方法,并在手术中仔细放置缝线,缝合胆囊线,以帮助收缩。作者已施行SILS手术23例,效果良好。单切口腹腔镜手术是可行的。需要以随机对照试验的形式进一步研究这项新技术的优势。
Laparoscopic techniques have allowed surgeons to perform complicated intraabdominal surgery with minimal trauma. Recent innovators have pioneered the use of single-incision laparoscopic surgery (SILS), which has the potential of further reducing the trauma of surgical access. This may lead to reduced postoperative pain and improved patient cosmesis.This article reports the authors' method of performing SILS cholecystectomy, with carefully placed sutures used to puppeteer the gallbladder and thus aid retraction.The authors have performed SILS cholecystectomy for 23 patients with good results.Single-incision laparoscopic surgery is a feasible way to perform cholecystectomy. Further work in the form of randomized controlled trials is needed to investigate the advantages of this new technique.