超微创腹腔镜手术：技术革新与临床研究进展

Super-minimally invasive laparoscopic surgery: technical innovations and clinical research progress

摘要:

随着微创外科理念的不断演进，手术方式正逐步从“最小损伤”向“无痕化”方向迈进。超微创腹腔镜手术（SMLS）是在传统腹腔镜技术基础上，对操作要素进行革新及再组配，从而实现更小创伤、更高美观度手术目标的一种新术式。SMLS以脐部皮肤褶皱为瘢痕隐匿区，通过设立不超过2个核心操作通道（最大直径≤15 mm）并辅以直径≤2 mm的腹部辅助操作孔，结合创新型分离式手术器械及高清视觉系统，实现对通道瘢痕遗留等关键问题的系统性解决。本文综述了SMLS的发展、技术创新、临床应用现状及其在微创手术美学化进程中的潜在价值，旨在为该术式的推广与技术迭代提供理论依据与研究参考。

Abstract:

With the continuous evolution of minimally invasive surgical concepts, operative techniques are progressively advancing from "minimal injury" toward "scarless" approaches. Super-minimally laparoscopic surgery (SMLS) is a novel surgical modality developed on the basis of conventional laparoscopic techniques through the innovation and recombination of operative elements, aiming to achieve smaller trauma and improved cosmetic outcomes. Utilizing the umbilical skin fold as a natural scar-concealing site, SMLS establishes no more than two primary operating channels (maximum diameter ≤15 mm), supplemented by auxiliary ports ≤2 mm in diameter on the abdominal wall. Combined with innovative separable surgical instruments and high-definition visualization systems, this approach provides a systematic solution to key issues such as residual access-site scarring. This review summarizes the development, technical innovations, current clinical applications, and potential aesthetic value of SMLS in the evolution of minimally invasive surgery, aiming to offer theoretical insights and research reference for its future promotion and technical refinement.