“隐蔽瘢痕”的改良三孔技术

A “Hidden Scars” Modified 3 Ports Surgical Technique

腹腔镜手术已成为妇科手术的选择之一。然而经典的腹腔镜手术仍会留下3～4个切口瘢痕。瘢痕是手术的标志，因此，没有手术是没有“瘢痕”的。即使是代表内镜技术最新改进和进展的单孔腹腔镜手术（single incision laparoscopic surgery，SILS）仍然会产生瘢痕。虽然只有单一切口，瘢痕数量减少，且不明显，但对医生和病人而言并非如此。

This is a preliminary paper to report a new ＂hidden Scars＂ 3 ports surgical technique in gynaecology. Two 5 mm ports were positioned on both sides of the umbilicus as the laparoseopic port and the operative port. A second operative port was inserted laterally, at the level of or below the pelvic hairline. The advantages of operative angulation and freedom of manipulation were similar to the standard 3 to 4 ports laparoscopic surgery. The author had performed an initial 44 patients with this new approach in benign gynaecological diseases. He found that this ＂hidden scars＂ surgery was feasible, safe, and reproducible. The operative time and blood loss were acceptable and the hospital stay was from 1 to 3 days. There was also no operative complication in this study. The scars appeared to have hidden, being not obvious after surgery and all patients were pleased with the result.