自制操作通道经脐单孔腹腔镜卵巢包块剥除术6例报告

Transumbilical Laparoendoscopic Single-site Surgery with Homemade Single-site Channel in the Treatment of Ovarian Benign Tumors:a Report of 6 Cases

2010年我科通过自制操作通道对6例卵巢良性包块施行经脐单孔腹腔镜卵巢包块剥除术。1例出现漏气,重新建立操作通道,完成单孔腹腔镜手术,其余均未出现漏气。5例经脐单孔腹腔镜下卵巢包块剥除术成功;1例因盆腔粘连严重中转为多孔腹腔镜手术。术后病理:5例成熟型畸胎瘤,1例卵巢子宫内膜异位囊肿。1例术后发热,脐部切口愈合不良,无其他并发症。6例术后1个月随访脐部切口愈合好,手术切口瘢痕不明显。我们认为自制操作通道制作方法简便,价格低廉,自制通道的经脐单孔腹腔镜下卵巢包块剥除术可行。

This paper analyzes transumbilical laparoendoscopic single-site surgery with homemade single-site channel in the treatment of 6 patients with ovarian benign tumors in our department in 2010.During operation,there was one case of air leakage from the abdomen and operative channel was rebuilt to finish the operation.Five cases went through the operations successfully and one case was converted to multiple-port laparoscopic surgery due to severe pelvic cavity adhesion.Pathologic results showed 5 cases of mature teratoma and one case of ovary endometriosis cyst.One patient had a fever and suffered from poor postoperative umbilical incision healing.No other complications occurred.The follow-up of 1 month showed the umbilical wounds healed well in all the 6 cases,and the scars were not obvious.We conclude transumbilical laparoendoscopic single-site surgery of ovarian massectomy with homemade channel is feasible and safe.It is simple and economical to establish the channel.