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在治愈疾病的基础上尽可能减少病人的创伤是外科医师的不懈追求,经自然孔道内镜外科(natural orifice transluminal endoscopic surgery,NOTES)提出的“无痛无瘢痕”理念极大地影响了以往的微创技术。现阶段NOTES受制于安全的腹腔入路、空腔脏器穿刺口的闭合、术后腹腔感染及内镜下缝合技术等诸多问题,尚难以在临床广泛开展。单孔腹腔镜手术(laparoscopic single site surgery,LESS)被认为是传统腹腔镜手术向NOTES
Minimizing patient trauma on the basis of cure of disease is a relentless pursuit by surgeons and the concept of “painless and scarless” as proposed by natural orifice transluminal endoscopic surgery (NOTES) has greatly influenced the past Minimally invasive technology. At this stage NOTES subject to the safety of the peritoneal approach, hollow organ puncture closed, postoperative abdominal infection and endoscopic suture techniques and many other issues, is still difficult to widely carried out in the clinic. Single-hole laparoscopic surgery (laparoscopic single site surgery, LESS) is considered to be the traditional laparoscopic surgery to NOTES