单孔腹腔镜临床应用进展
Clinical Advances in Single-Incision Laparoscopic Surgery
DOI: 10.12677/acm.2026.1652126, PDF,    科研立项经费支持
作者: 练 达*, 姜 昊, 孟子钰, 侯代鑫, 刘鲲鹏:佳木斯大学临床医学院,黑龙江 佳木斯;赵雨轩:佳木斯大学材料科学与工程学院,黑龙江 佳木斯;谢鹏宇#:佳木斯大学基础医学院,黑龙江 佳木斯
关键词: 单孔腹腔镜手术腹腔镜单孔手术机器人微创手术Single Incision Laparoscopic Surgery Laparoscopic Single Port Robot Minimally Invasive Surgery
摘要: 单孔腹腔镜手术(single incision laparoscopic surgery, SILS)是经脐部单一小切口完成腹部全流程操作的微创术式,在传统腹腔镜的基础上进一步减少了腹壁创伤,具有术后疼痛轻、恢复快、并发症少、瘢痕隐蔽美容效果佳等优势,已广泛应用于普外科、泌尿外科、妇科。但SILS存在器械“筷子效应”、操作三角缺失、视野盲区、学习曲线长等局限,可弯曲手术器械可改善部分操作难题,单孔手术机器人凭借多自由度机械臂、3D高清视野大大解决了器械碰撞问题。
Abstract: Single Incision Laparoscopic Surgery (SILS) is a minimally invasive surgical procedure that completes the entire abdominal operation through a single small umbilical incision. On the basis of conventional laparoscopic surgery, it further reduces abdominal wall trauma and offers advantages such as mild postoperative pain, rapid recovery, fewer complications, concealed scars and excellent cosmetic results. It has been widely used in general surgery, urology and gynecology. However, SILS is limited by the “chopstick effect” of instruments, lack of operative triangle, visual blind spots and a long learning curve. Flexible surgical instruments can improve part of the operational difficulties, while single-incision surgical robots have largely solved the problem of instrument collision by virtue of multi-degree-of-freedom robotic arms and 3D high-definition vision.
文章引用:练达, 姜昊, 孟子钰, 赵雨轩, 侯代鑫, 刘鲲鹏, 谢鹏宇. 单孔腹腔镜临床应用进展[J]. 临床医学进展, 2026, 16(5): 3101-3111. https://doi.org/10.12677/acm.2026.1652126

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