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Single-incision laparoscopic ileocecal resection using an organ retractor

机译:使用器官牵开器的单切口腹腔镜回盲切除术

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摘要

Introduction Single-incision laparoscopic surgery has been reported to be a safe and feasible technique for colorectal cancer. However, the technique needs skill due to the limitations of the device. An organ retractor is a new grasp device that has the potential to overcome these limitations. Presentation of case A 63-year-old woman with a tumor palpated in the right lower quadrant of the abdomen presented to hospital. Colonoscopy showed a type 2 mass with nearly complete stenosis, and a biopsy specimen showed well-differentiated adenocarcinoma. Single-incision laparoscopic surgery ileocecal resection was performed using an organ retractor. A 3-cm incision was placed in the umbilicus, and three conventional ports were inserted. An organ retractor was used for hepatocolic ligament resection, resection of the ileocolic vessels, and resection of the insertion of the mesentery proper. For each resection, the trailer line's tension was adjusted to provide a good operative view. The patient's postoperative course was good, and she was discharged 7 days after surgery. Discussion An organ retractor was effective for single-incision laparoscopic surgery technique not only to maintain a good operative view, but also to change trailer line tension, which enabled safe dissection. Conclusion An organ retractor could facilitate single-incision laparoscopic surgery.
机译:引言据报道,单切口腹腔镜手术是结直肠癌的一种安全可行的技术。但是,由于设备的限制,该技术需要技巧。器官牵开器是一种新型的抓握装置,具有克服这些限制的潜力。病例介绍一名63岁的女性在腹部右下腹出现触诊,并被送往医院。结肠镜检查显示2型肿块几乎完全狭窄,活检标本显示分化良好的腺癌。使用器官牵开器进行单切口腹腔镜手术回盲肠切除术。在脐部放置一个3 cm的切口,并插入三个常规端口。使用器官牵开器进行肝球韧带切除,回输血管切除和肠系膜固有体的切除。对于每次切除,均需调整拖车线的张力,以提供良好的手术视野。病人的术后过程良好,手术后7天出院。讨论器官牵开器对于单切口腹腔镜手术技术有效,不仅可以保持良好的手术视野,而且可以改变拖车线的张力,从而可以安全地解剖。结论器官牵开器可促进单切口腹腔镜手术。

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