经脐腹腔镜在妇科手术中的应用

Application of transumbilical single port laparoscopy in gynecologic operation

目的:探讨经脐入路腹腔镜手术在妇科中的应用价值。方法:61例均于脐上缘做15～20mm弧形切口,分别穿刺1个10mm、1～2个5mm Trocar,置入腹腔镜和操作器械,常规行卵巢囊肿剥除术、宫外孕手术、不孕症探查术、子宫内膜异位症探查术、盆腔肿块探查活检术、输卵管绝育术,从10mm Trocar中取出囊肿或孕囊。结果:61例均顺利完成经脐腹腔镜手术。手术时间6～60min,平均33min。术后3～5d出院,无并发症发生,患者痛苦小,康复快。结论:经脐腹腔镜手术治疗妇科疾病安全、有效,脐部瘢痕隐蔽、不明显,取得了腹部无疤痕的更佳美容效果。

Objective：To discuss the application value of transumbilical single port laparoscopy in gynecologic operation.Methods：In operation,one 1.5-2cm arc incision was made at the superior border of umbilicus of sixty-one patients,through which one or two 5mm Trocars and one 10mm Trocar were punctured respectively,and then laparoscope and operating apparatus were inserted.Oophorocystectomy,operation for ectopic pregnancy,exploratory operation for sterility and endometriosis,exploration and biopsy for the pelvic cavity tumor,and tubal sterilization were operated routinely.After that the cyst or gestational sac was taken out from 10mm Trocar.Results：The mean time of sixty-one operations was 33min（range from 6min to 60min）,and the postoperative hospital stay was 3-5d.No complications occurred,and then the patient got less pain and quicker recovery.Conclusions：Transumbilical single port laparoscopic operation is safe and effective for gynecologic diseases,and achieves more cosmetic results because of no scar on the abdomen wall except the hidden umbilical scar.