BACKGROUND Single-port laparoscopy has been used in a variety of abdominal operations.We report the first case of single-port laparoscopic left lateral sectionectomy in pediatric laparoscopic living donor liver transp...BACKGROUND Single-port laparoscopy has been used in a variety of abdominal operations.We report the first case of single-port laparoscopic left lateral sectionectomy in pediatric laparoscopic living donor liver transplantation.CASE SUMMARY A 28-year-old man volunteered for living liver donation to his daughter who was diagnosed with liver cirrhosis and portal hypertension after the Kasai procedure for biliary atresia.His body mass index was 20.5 kg/m2.Liver dynamic computed tomography showed:(1)Left lateral graft volume of 232.76 cm3 with a graft-torecipient weight ratio of 2.59%;and(2)Right hepatic artery derived from the superior mesenteric artery.A single-port access system was placed through a transumbilical incision,including four trocars:two 12-mm ports for a camera and endoscopic stapler and two 5-mm working ports.Liver parenchyma was dissected by a Harmonic and Cavitron Ultrasonic Surgical Aspirator,while bipolar was used for coagulation.The bile duct was transected above the bifurcation by indocyanine green fluorescence cholangiography.The specimen was retrieved from the umbilical incision.The total operation time was 4 h without blood transfusion.The final graft weight was 233.6 g with graft-torecipient weight ratio of 2.60%.The donor was discharged uneventfully on postoperative day 4.CONCLUSION Single-port laparoscopic left lateral sectionectomy is feasible in pediatric laparoscopic living donor liver transplantation in an experienced transplant center.展开更多
目的 探讨单孔腹腔镜下输卵管切除术在异位妊娠手术治疗的价值.方法 将无锡市第三人民医院2010年1月至2011年6月32例异位妊娠患者行经脐单孔腹腔镜下输卵管切除术与32例常规腹腔镜下输卵管切除手术相比较.结果 64例手术均获成功,单孔腹...目的 探讨单孔腹腔镜下输卵管切除术在异位妊娠手术治疗的价值.方法 将无锡市第三人民医院2010年1月至2011年6月32例异位妊娠患者行经脐单孔腹腔镜下输卵管切除术与32例常规腹腔镜下输卵管切除手术相比较.结果 64例手术均获成功,单孔腹腔镜组手术时间（59.22±18.32min）明显长于常规腹腔镜组（33.91±10.68min）（t=6.75,P＜0.05）,术中出血量（32.19±15.45mL vs 34.84±17.01mL,t=-0.65）、排气时间（31.31±9.56h vs 32.38±8.78h,t=-0.46）、住院时间（5.22±0.71d vs 5.31±0.74d,t=-0.52）均无显著差异（均P〉0.05）,术后病率（3.13% vs 0%,P=1.00）术后美容效果（88% vs 19%,χ2=30.37）及患者满意情况（94% vs 53%,χ2=13.54）单孔组更优（均P〈0.05）.结论 异位妊娠患者行经脐单孔腹腔镜下输卵管切除术是一种安全可行,更微创和具美容效果的手术,因手术难度较大,故手术时间长于常规组.展开更多
基金Supported by Capital Research Project for Specialty Clinical Application,No.Z181100001718220.
文摘BACKGROUND Single-port laparoscopy has been used in a variety of abdominal operations.We report the first case of single-port laparoscopic left lateral sectionectomy in pediatric laparoscopic living donor liver transplantation.CASE SUMMARY A 28-year-old man volunteered for living liver donation to his daughter who was diagnosed with liver cirrhosis and portal hypertension after the Kasai procedure for biliary atresia.His body mass index was 20.5 kg/m2.Liver dynamic computed tomography showed:(1)Left lateral graft volume of 232.76 cm3 with a graft-torecipient weight ratio of 2.59%;and(2)Right hepatic artery derived from the superior mesenteric artery.A single-port access system was placed through a transumbilical incision,including four trocars:two 12-mm ports for a camera and endoscopic stapler and two 5-mm working ports.Liver parenchyma was dissected by a Harmonic and Cavitron Ultrasonic Surgical Aspirator,while bipolar was used for coagulation.The bile duct was transected above the bifurcation by indocyanine green fluorescence cholangiography.The specimen was retrieved from the umbilical incision.The total operation time was 4 h without blood transfusion.The final graft weight was 233.6 g with graft-torecipient weight ratio of 2.60%.The donor was discharged uneventfully on postoperative day 4.CONCLUSION Single-port laparoscopic left lateral sectionectomy is feasible in pediatric laparoscopic living donor liver transplantation in an experienced transplant center.
文摘目的 探讨单孔腹腔镜下输卵管切除术在异位妊娠手术治疗的价值.方法 将无锡市第三人民医院2010年1月至2011年6月32例异位妊娠患者行经脐单孔腹腔镜下输卵管切除术与32例常规腹腔镜下输卵管切除手术相比较.结果 64例手术均获成功,单孔腹腔镜组手术时间（59.22±18.32min）明显长于常规腹腔镜组（33.91±10.68min）（t=6.75,P＜0.05）,术中出血量（32.19±15.45mL vs 34.84±17.01mL,t=-0.65）、排气时间（31.31±9.56h vs 32.38±8.78h,t=-0.46）、住院时间（5.22±0.71d vs 5.31±0.74d,t=-0.52）均无显著差异（均P〉0.05）,术后病率（3.13% vs 0%,P=1.00）术后美容效果（88% vs 19%,χ2=30.37）及患者满意情况（94% vs 53%,χ2=13.54）单孔组更优（均P〈0.05）.结论 异位妊娠患者行经脐单孔腹腔镜下输卵管切除术是一种安全可行,更微创和具美容效果的手术,因手术难度较大,故手术时间长于常规组.
