自制单孔装置Iconport在单孔腹腔镜阑尾切除术中的应用:附30例报告

Application of Self-made Single Port Device for Laparoscopic Appendectomy:a Report of 30 Cases

目的：探讨自制单孔装置Iconport在经脐单孔阑尾切除术中应用的安全性和临床价值。方法绕脐弧形切口约2．5 cm，开放法进腹，使用单孔装置Iconport实现切口密封，常规直线型腹腔镜器械经操作孔置入施行腹腔镜下阑尾切除术，术毕标本在单孔装置保护下取出体外，切口分白线和皮肤两层可吸收线连续缝合。结果30例手术均顺利完成，手术时间30-60 min，平均40 min。术后住院2-4 d，平均3 d。术后1周切口视觉模拟评分（ VAS）3分以下。30例术后随访1-6个月，平均2个月，无出血、粪漏、肠梗阻、腹腔残余积液等并发症，恢复良好，患者对切口美观效果满意。结论自制单孔腹腔镜装置Iconport使单孔腹腔镜手术操作难度下降。

Objective To discuss the safety and clinical value of Iconport , a self-made single port device , in the application of transumbilical single port laparoscopic appendectomy . Methods An incision about 2.5 centimeters long with curved form was made around umbilicus .The Iconport single port device was used for airtight the incision .Routine linear type laparoscopic instruments were used during laparoscopic appendectomy through channel in the single port device .The specimen was discharged from peritoneal cavity isolated with the single port device .The incision was sewed up successively in linea alba abdominus and skin by absorbable threads. Results All the 30 cases were operated successfully .The operation time was 30-60 min, with a mean of 40 min.The hospital stay was 2-4 days, with a mean of 3 days.The pain scores of incision 1 week after operation were below 3 by visual analogue scale.The 30 cases were followed up for 1-6 months, with a mean of 2 months.No complications such as hemorrhage , intestinal fistula, intestinal obstruction , or residuum hydrops in peritoneal cavity occurred .All the patients recovered well and felt satisfaction with the incision appearance . Conclusion Laparoscopic surgery may be easier by using the self-made single port device named Iconport .