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首页> 外文期刊>Surgical Endoscopy >Laparoscopic extraperitoneal aortic dissection: Does single-port surgery offer the same possibilities as conventional laparoscopy?
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Laparoscopic extraperitoneal aortic dissection: Does single-port surgery offer the same possibilities as conventional laparoscopy?

机译：腹腔镜腹膜外主动脉夹层：单端口手术是否提供与常规腹腔镜检查相同的可能性？

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Background: This study aimed to demonstrate the feasibility of single-port surgery (SPS) for laparoscopic extraperitoneal aortic dissection. Methods: From December 2010 to April 2011, all patients referred for aortic lymph node staging underwent a laparoscopic extraperitoneal approach with a single-port device. The extraperitoneal approach was performed using only one 3-4 cm incision on the left side. Gelpoint from Applied Medical (Rancho Santa Margarita, CA, USA), a 10-mm 0° laparoscope, and 5-mm standard instruments were used. Results: The study enrolled 13 patients. Aortic dissection was complete for 11 patients and incomplete for 2 patients. The mean lymph node count was 16 (range, 7-40). The mean blood loss was 40.7 ml (range, 0-100 ml), and no transfusion was necessary. The mean hospital stay was 1.7 days (range, 1-4 days) for this series. Conclusion: The study results demonstrate the feasibility of single-port-access laparoscopy for extraperitoneal aortic lymphadenectomy. The lymph node count was similar to that described in the published experience of conventional laparoscopic extraperitoneal dissection. This preliminary report shows that SPS is usable for extraperitoneal aortic dissection and that it is possible to perform this procedure using only one skin incision compared with the three or four incisions required for conventional laparoscopy.
机译：背景：这项研究旨在证明腹腔镜腹膜外主动脉夹层的单端口手术（SPS）的可行性。方法：从2010年12月至2011年4月，所有接受主动脉淋巴结分期的患者均采用单端口设备进行腹腔镜腹膜外入路。腹膜外入路仅使用左侧的3-4 cm切口进行。使用来自Applied Medical（美国加利福尼亚Rancho Santa Margarita）的Gelpoint，10毫米0°腹腔镜和5毫米标准仪器。结果：该研究招募了13名患者。主动脉夹层完成11例，不完整2例。平均淋巴结计数为16（范围7-40）。平均失血量为40.7 ml（范围为0-100 ml），并且无需输血。该系列的平均住院天数为1.7天（1-4天）。结论：研究结果证明了腹腔镜腹腔镜主动脉淋巴结清扫术的可行性。淋巴结计数与常规腹腔镜腹膜外解剖所发表的经验中描述的相似。该初步报告表明，SPS可用于腹膜外主动脉夹层，与常规腹腔镜检查所需的三个或四个切口相比，仅使用一个皮肤切口即可执行此操作。

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