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首页> 外文期刊>Updates in Surgery >Single-incision laparoscopic right colectomy for cancer: a single-centre preliminary experience
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Single-incision laparoscopic right colectomy for cancer: a single-centre preliminary experience

机译：单切口腹腔镜右结肠切除术治疗癌症：单中心初步经验

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The rationale for single-incision laparoscopic surgery (SILS) is minimizing morbidity, as well as improving cosmetic results of laparoscopic approach. This technique has been used for a variety of procedures and has recently been proposed for colonic resections as well. We report our preliminary experience of right colectomy, performed through a SILS approach. Five patients (3 males, 2 females, mean age 81.6 years) were selected to undergo SILS right colectomy for cancer. The procedure was carried out through a SILS multi-port device (SILS™ Port, Covidien Ltd, Norwalk, CT, USA), with either conventional or specially designed instruments. A medial-to-lateral approach and an extra-corporeal anastomosis were performed. In three cases, the procedure was completed through the SILS technique; in two of these cases a combined procedure was carried out (right colectomy plus cholecystectomy, right colectomy plus cholecystectomy plus i.o. colonoscopy and polypectomy). In one case, a switch to standard laparoscopy was necessary because of the large dimension of the tumour, while in the other case an intolerance of pneumoperitoneum was registered, thus requiring a conversion to open surgery. SILS procedures proved to be oncologically correct. No major complications occurred. In selected patients, SILS right colectomy for cancer appears to be feasible and oncologically safe. Beyond the cosmetic advantage, the procedure may reduce postoperative morbidity. Further studies are needed, with larger series and a longer follow-up, to determine the incidence of possible long-term complications and to evaluate possible cost-effectiveness of the procedure.
机译：单切口腹腔镜手术（SILS）的基本原理是将发病率降至最低，并改善腹腔镜手术的美容效果。该技术已用于多种手术，并且最近也被提出用于结肠切除术。我们报告通过SILS方法进行的右结肠切除术的初步经验。选择五例患者（男3例，女2例，平均年龄81.6岁）进行SILS右结肠癌手术。该过程是通过SILS多端口设备（SILS™Port，Covidien Ltd，美国康涅狄格州诺沃克市）进行的，使用常规或专门设计的仪器。进行了从内侧到外侧的方法和体外吻合术。在三种情况下，该程序是通过SILS技术完成的；在其中两种情况下，进行了联合手术（右结肠切除术+胆囊切除术，右结肠切除术+胆囊切除术加结肠镜和息肉切除术）。在一种情况下，由于肿瘤的尺寸较大，因此有必要转换为标准腹腔镜检查，而在另一种情况下，气腹的耐受性则有所提高，因此需要转换为开腹手术。 SILS程序在肿瘤学上被证明是正确的。无重大并发症发生。在选定的患者中，SILS右结肠癌切除术似乎是可行的，并且在肿瘤学上是安全的。除了美容上的好处，该手术还可以减少术后发病率。需要进行更大范围的随访和更长的随访研究，以确定可能的长期并发症的发生率，并评估该手术可能的成本效益。

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