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首页> 外文期刊>Surgical Endoscopy >Laparoendoscopic single site (LESS) surgery for left-lateral hepatic sectionectomy as an alternative to traditional laparoscopy: Case-matched analysis from a single center
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Laparoendoscopic single site (LESS) surgery for left-lateral hepatic sectionectomy as an alternative to traditional laparoscopy: Case-matched analysis from a single center

机译：腹腔镜内镜下单部位（LESS）手术代替传统的腹腔镜手术：左侧肝切除术：来自单个中心的病例匹配分析

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Background: Laparoscopy is considered the "gold standard" to perform left-lateral sectionectomy with results identical to those of open surgery, yielding decreased postoperative pain and disability, reduced hospital stay, and shortened patient recovery time. As the emphasis on minimizing the invasiveness of surgical techniques continues, laparoendoscopic single site (LESS) surgery is quickly evolving. The purpose of this study was to compare the results of laparoscopic left-lateral sectionectomy performed using the traditional approach or LESS approach with a case-matched analysis for tumor size, type of resection, and surgical indications. Methods: Thirteen patients who underwent LESS leftlateral sectionectomy are considered the study group (LESS group) and compared with 13 patients who underwent left-lateral sectionectomy with traditional laparoscopic approach (conventional group). Results: There were no significant differences between groups for length of surgery (165 min in conventional group vs. 195 min in LESS group), blood loss (150 mL in conventional group vs. 175 mL in LESS group), conversion to open surgery, histological tumor exposure, and requirements of postoperative analgesics. One patient in the LESS group died of cardiac failure due to an unknown severe aortic valve stenosis. No differences were recorded for postoperative complications (23.1% in both groups) and median length of postoperative stay (4 days in both groups). Conclusions: For left-lateral hepatic sectionectomy, LESS surgery is technically feasible and as safe as traditional laparoscopic surgery in terms of intraoperative and postoperative results, even though requiring both hepatobiliary and laparoscopic technique experience.
机译：背景：腹腔镜检查被认为是进行左侧切片切除术的“黄金标准”，其结果与开放手术相同，可减轻术后疼痛和残疾，减少住院时间，并缩短患者的康复时间。随着继续强调最小化外科手术技术的侵害性，腹腔镜单部位（LESS）外科手术正在迅速发展。这项研究的目的是比较使用传统方法或LESS方法进行的腹腔镜左侧切除术的结果，以及对肿瘤大小，切除类型和手术适应症的病例匹配分析。方法：将13例行LESS左侧切除术的患者视为研究组（LESS组），并将其与13例行传统腹腔镜方法行左侧切除术的患者（常规组）进行比较。结果：各组之间的手术时间（常规组为165分钟，LESS组为195分钟），失血量（常规组为150 mL，LESS组为175 mL），开腹手术，组织学肿瘤暴露，以及术后镇痛药的要求。 LESS组的一名患者因未知的严重主动脉瓣狭窄而死于心力衰竭。术后并发症（两组均为23.1％）和术后中位时间（两组均为4天）均无差异。结论：对于左侧肝切片切除术，尽管需要肝胆和腹腔镜技术经验，但是LESS手术在技术上是可行的，并且在术中和术后效果方面与传统腹腔镜手术一样安全。

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