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首页> 外文期刊>Surgical Endoscopy >Single-incision laparoscopic right colectomy in an unselected patient population
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Single-incision laparoscopic right colectomy in an unselected patient population

机译：未选择患者人群的单切口腹腔镜右结肠切除术

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Background Single-incision laparoscopic surgery has become increasingly utilized for colorectal surgery, with the most frequently reported single-incision laparoscopic operation being right hemicolectomy. While current data suggest that single-incision laparoscopic right colectomy is feasible, safe, and roughly equivalent to standard laparoscopic right colectomy, the technique has to date only been described in highly selected patients. Single-incision laparoscopic right colectomy has not yet been assessed in a standard patient population. Methods A retrospective review was conducted to evaluate all single-incision right hemicolectomies performed by a single surgeon between May 2010 and April 2011. Demographic data, operative parameters, and postoperative outcomes were assessed. Results Single-incision laparoscopic colectomy was performed in a series of 30 consecutive patients with indications for right colectomy. One patient required conversion to an open procedure for extensive adhesions, while no patients required additional port placement. Mean operative time was 107 min. All patients had negative margins and had an average of 20 lymph nodes harvested. Mean length of stay was 6 days. There were no intraoperative complications and no mortality in the study. The perioperative complication rate was 37%, with 71% of complications being grade 1. Conclusions Single-incision laparoscopic colectomy is feasible, safe, efficient, and oncologically sound for most patients who are seen in a typical colorectal practice. These data are useful as single-incision laparoscopic colectomy becomes more broadly implemented.
机译：背景技术单切口腹腔镜手术已越来越多地用于结直肠手术，最常报道的单切口腹腔镜手术是右半结肠切除术。尽管目前的数据表明单切口腹腔镜右结肠切除术是可行，安全且大致等同于标准腹腔镜右结肠切除术，但迄今为止，该技术仅在高度选择的患者中得到了描述。尚未在标准患者人群中评估单切口腹腔镜右结肠切除术。方法回顾性评估2010年5月至2011年4月间由一名外科医生进行的所有单切口右半脑电切开术。评估其人口统计学资料，手术参数和术后结局。结果在连续30例患者中进行了单切口腹腔镜结肠切除术，并明确了右结肠切除术的适应症。一名患者需要转换为开放式手术以获得广泛的粘连，而没有患者需要额外的端口放置。平均手术时间为107分钟。所有患者的切缘均为负值，平均收获20个淋巴结。平均住院时间为6天。该研究没有术中并发症，也没有死亡率。围手术期并发症发生率为37％，其中1级为并发症的71％。结论单切口腹腔镜结肠切除术对于大多数在典型结直肠实践中见过的患者而言是可行，安全，有效且在肿瘤学上合理的。随着单切口腹腔镜结肠切除术的实施越来越广泛，这些数据很有用。

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