Appendicectomy and Cholecystectomy Using Single-Incision Laparoscopic Surgery (SILS): The First UK Experience
Appendicectomy and Cholecystectomy Using Single-Incision Laparoscopic Surgery (SILS): The First UK Experience
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DOI：
10.1177/1553350609344413
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发表时间：
2009-09-01
影响因子：
1.5
通讯作者：
Paraskeva, Paraskevas
中科院分区：
文献类型：
--
作者：
Chow, Andre;Purkayastha, Sanjay;Paraskeva, Paraskevas
导论.单切口腹腔镜手术（锡尔斯）具有减少术后疼痛和减少端口部位并发症的潜在优势。仔细注意闭合可以导致几乎“无疤痕”的手术。在这篇文章中，我们提出了我们的第一次经验，锡尔斯阑尾切除术和胆囊切除术。法锡尔斯阑尾切除术12例，胆囊切除术14例。从病例记录和剧院数据库中前瞻性收集数据并进行回顾性分析。结果锡尔斯阑尾切除术和锡尔斯胆囊切除术的平均手术时间分别为61.3和142.9分钟。经验的增加与手术时间的减少之间有很好的相关性，阑尾切除术的Pearson系数为-1，胆囊切除术为-0.56。锡尔斯阑尾切除术组无术后并发症。锡尔斯胆囊切除术组中的1例患者发生了Lushka副胆管的术后胆漏。结论.在我们的系列研究中，我们已经证明锡尔斯是一种安全有效的阑尾切除术和胆囊切除术方法。需要进一步的研究来调查这种方法相对于标准腹腔镜技术的任何潜在优势。
Introduction. Single-incision laparoscopic surgery (SILS) has the potential advantages of reduced postoperative pain and reduced port-site complications. Careful attention to closure can lead to virtually "scarless" surgery. In this article, we present our first experiences with SILS appendicectomy and cholecystectomy. Method. SILS appendicectomy and cholecystectomy was performed in 12 and 14 patients, respectively. Data were collected prospectively and analyzed retrospectively from case notes and the theater database. Results. The average operating times were 61.3 and 142.9 minutes for SILS appendicectomy and SILS cholecystectomy, respectively. There was a good correlation between increasing experience and a reduction in operative time with Pearson's coefficient being -1 for appendicectomy and -0.56 for cholecystectomy. There were no postoperative complications in the SILS appendicectomy group. One patient in the SILS cholecystectomy group suffered a postoperative biliary leak from an accessory duct of Lushka. Conclusions. In our series, we have demonstrated SILS to be a safe and efficacious method for appendicectomy and cholecystectomy. Further studies are required to investigate any potential advantages of this method over standard laparoscopic techniques.