期刊
DIGESTIVE SURGERY
卷 27, 期 5, 页码 364-366出版社
KARGER
DOI: 10.1159/000315012
关键词
Umbilical incision; Laparoscopic surgery; Anterior resection
Background: A high surgical technique is required for laparoscopic anterior resection using single-incision laparoscopic surgery such as multiport surgery. We report a novel surgical technique of umbilical incision laparoscopic surgery with one assist port which could be performed like conventional multiport surgery. Methods: With the patient in the lithotomy position, a 3-cm longitudinal skin incision is made at the umbilicus and carried down to the peritoneum. A 12-mm and two 5-mm trocars are placed through the incision. Another 12-mm trocar is placed for the insertion of laparoscopic coagulation shears and a stapler in the right lower quadrant. After surgery, the trocar in the right lower quadrant is removed and a drain is replaced through the insertion site. The operator mainly uses two trocars, a 5-mm trocar placed at the umbilicus and a 12-mm trocar in the right lower quadrant, making it like conventional laparoscopic surgery. Results: The median operation time was 195 (range 180-205) min, intraoperative blood loss was 20 (range 0-60) ml, and none of the 3 patients had any complications postoperatively. Conclusion: As opposed to surgery with only three ports, so-called single-incision laparoscopic surgery, this operation can be performed much more comfortably if another port is inserted in the right lower quadrant. Copyright (C) 2010 S. Karger AG, Basel
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