| 摘要: |
| [摘要] 目 的 尝试经脐单孔多通道腹腔镜治疗妇科附件疾病，总结应用体会和手术难点。方 法 2011年7月至2012年8月对14例妇科附件疾病患者施行单孔多通道腹腔镜治疗，总结手术经验和难点。结 果 14例手术均顺利完成，手术时间分别为20～120min，出血量分别为20～200 ml，术中术后均未输血，未使用镇痛剂，放引流管者术后2d拔除，术后住院天数为2～5 d。术后随访3～12个月，均无切口感染、出血、切口疝等术后并发症发生。结 论 单孔多通道腹腔镜下附件手术尚处于初级阶段，技术不成熟，时间稍长，但该手术安全可行，且瘢痕小而隐蔽，美容效果好；临床开展需要特殊的手术器械，缝合打结操作有一定难度。 |
| 关键词: 经脐 单孔腹腔镜手术 子宫附件疾病 |
| DOI：10.3724/SP.J.1008.2013.00348 |
| 投稿时间：2013-01-04修订日期：2013-02-28 |
| 基金项目: |
|
| Single-port transumbilical laparoscopical surgery for treatment of adnexal diseases |
| ZHANG Yan,GUAN Rui,LI Li,WU Wei,CUI Ying,XU Ming-juan* |
(Department of Obstetrics and Gynecology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
*Corresponding author.) |
| Abstract: |
| [Abstract] Objective To summarize our experience and operative techniques of transumbilical laparo-endoscopic single site for adnexal diseases. Methods 14 cases for adnexal diseases were performed from July 2011 toAugusrt 2012．Results The operations were successful, while no case turned to conventional laproscopy. The operation time was from 20 to 120 min and the intraoperative blood losses were between 20 ml and 200 m1. None of the patients received blood transfusion or antalgic. The drainage was removed 2 days after operation and the postoperative hospital stays were 2～5 days. The patients were followed up for 3～12 months after operation and no incision hernia, wound infection and complications. Conclusion The technology of LESS which takes longer time is still in its infancy and immature, but LESS for adnexal diseases is a safe and effective method with less trauma. However, special instruments are needed for the procedure, and the suture and knotting are somewhat difficult． |
| Key words: transumbilical laparoendoscopic single-site surgery adnexal diseases |
