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"Single-hole + 1-hole" laparoscopic surgery

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"Single-hole + 1-hole" laparoscopic surgery

Date of issue:2021-07-03 author: click:


 

Did laparoscopic surgery dare not wear a bikini? No! No! No!

In the 1990s, with the popularization of laparoscopic technology, the traditional 5-hole laparoscopic technique has been widely used in the treatment of gastric cancer. With the continuous pursuit of minimally invasive surgery by laparoscopic surgeons, the "single-hole + 1-hole" two-hole laparoscopic radical gastrectomy (DPLDG) technique has been developed.

 

Traditional laparoscopic usually need( 4 ~ 5) on the abdominal puncture hole surgery operation, the so-called "puckering + 1 hole" can reduce the puncture hole, one of the hole is made an incision in the navel, the scar after the operation, hidden in the belly button, not obvious surgical scar left on the abdominal wall, beautiful is the greatest advantages of more traditional laparoscopic surgery.

 

At present, "single hole +1 hole" has many controversial places, and has not been widely promoted for the time being.

 

Advantages

"Puckering + 1 hole" using umbilical week 3 ~ 4 cm small incision and right upper quadrant 5mm trocar complete all the operation, so have the integrity of the abdominal wall less damage, less postoperative pain, early ambulation, recovery faster, less postoperative incision related complications, at the same time, it is more beautiful, shorten hospitalization time, the protection of postoperative nutritional status in patients with the advantages of better.

Disadvantages

Special instruments, inconvenient operation and limited vision are the main constraints of this surgical approach. Patient indications need to be strictly controlled. In addition, compared with traditional laparoscopic surgery, it only has the advantage of reducing the number of trocars by 5mm to 10 mm, which requires higher technical level of doctors and is difficult to be widely promoted. It is currently only available to some highly skilled surgeons.


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