单孔免气腹腹腔镜妇科手术71例报告

Gasless single-port laparoscopic operation for gynecologic diseases: a report of 71 cases

目的:探讨单孔免气腹腹腔镜妇科手术的可行性、安全性及临床效果。方法:全麻下采用单孔法置入腹腔镜器械,根据不同疾病采取相应的手术方法,异位妊娠术式为输卵管切除术,输卵管开窗术或输卵管切开取胚术;卵巢囊肿手术采用囊肿剥除术及卵巢成形术、卵巢部分切除术。结果:71例手术均顺利完成,无脏器损伤、皮下出血及其他并发症发生,手术时间平均(62.46±20.04)min,术中失血量平均(18.71±14.94)ml,术后平均住院(4.83±1.28)d。结论:单孔免气腹腹腔镜手术治疗异位妊娠、卵巢囊肿等妇科疾病快速、安全、有效,具有出血少、康复快、并发症少等优点,可作为常规手术加以推广应用。

Objective：To discuss the safety,feasibility and clinical effect of gasless single-port laparoscopic operation for gynecologic diseases. Methods：Clinical data of 71 patients with gynecologic diseases who underwent gasless single-port laparoscopic operation were retrospectively analyzed. Patients with ectopie pregnancy underwent salpingectomy, salpingotomy or embryo removal from uterine tube. Patients with ovarian cyst underwent oophorocystectomy, oophoroplasty or adnexectomy. Results： All operations were finished successfully without complications such as organ injury or subcutaneous hemorrhage in abdominal wall. The mean operating time was （62.46 ± 20.04） min, mean intraoperative blood loss was （18.71 ±14.94） ml, and mean postoperative hospital stay was （4.83 ± 1.28） d. Conclusions ： Gasless single-port laparoseopic operation for ectopic pregnancy and ovarian cysts is safe, feasible and can be suggested as the regular operation. This procedure is fast, effective and has advantages of little blood loss, fast recovery and few complications.