单孔腹腔镜辅助下阴式子宫切除术的应用体会

The clinical application of transumbilical singleport laparoscopic assisted vaginal hysterectomy

目的探讨经脐单孔腹腔镜辅助下阴式子宫切除术的临床应用。方法回顾分析30例患者施行经脐单孔腹腔镜辅助下阴式子宫切除术的临床资料。结果 30例手术均获得成功,手术时间60～105min,术中出血80～120ml,24h拔出尿管,12～36h肛门排气,3～5d出院。无并发症发生。结论经脐单孔腹腔镜辅助下阴式子宫切除术安全可行,但较传统腹腔镜辅助下阴式子宫切除术困难,有一个适应和学习的曲线,其微创和美容效果明显优于传统腹腔镜辅助下阴式子宫切除术,可达到腹部无可见疤痕的目的,具有临床推广价值。

Objective The aim of this study was to investigate the clinical value of vaginal hysterectomy assisted by transumbilical single-port laparoscopy. Methods The clinical data of 30 cases undergoing transumbilical single-port laparoscopy assis- ted vaginal hysterectomy were analyzed retrospectively. Results All the 30 cases were successfully performed without complications. The operative time was varied from 60 to 105 minutes, which gradually shortened with the experience accumulated; the average intraoporative blood loss was 80 to 120ml; the time of urinary catheter pulling out, anal exsufflation, and discharge from hospital was 24 hours, 12 - 36 hours and 3 - 5 days after operation respectively. Conclusion The transom bilical single-port laparoscopy assisted vaginal hysterectomy is safe and feasible. Although it was more difficult than traditional laparoscopic assisted-vaginal hysterectomy and a new learning curve was needed, the minimal invasion and cosmetic effect, which can achieve no visible scars at the abdomen, made it worth to be further popularized.