经脐单孔腹腔镜在超重肥胖患者卵巢囊肿剥除术中的应用

Application of transumbilical single-port laparoscopic ovarian cyst excision in overweight and obese patients

目的探究经脐单孔腹腔镜下卵巢囊肿剥除术的手术效果与其在超重肥胖患者中的应用价值。方法选取2019年1月至2021年3月我院腹腔镜下卵巢囊肿剥除术89例,根据手术方式分为经脐单孔腹腔镜组与多孔腹腔镜组,根据体质指数分为正常体重组与超重肥胖组。比较术中、术后指标。结果单孔与多孔组相比手术时间延长,术后首次下床活动时间缩短、住院费用升高(P<0.01),出血量、排气时间及术后住院日差异无统计学意义(P>0.05)。行单孔手术的肥胖超重与正常体重患者在切口大小、手术时间、出血量、术后排气及活动时间、术后住院日及住院费用差异无统计学意义(P>0.05)。结论经脐单孔腹腔镜下卵巢囊肿剥除手术效果与多孔腹腔镜相当,但术后恢复更快。体质指数升高不影响单孔腹腔镜下卵巢囊肿剥除术的效果。

Objective To study the clinical efficacy of transumbilical single-port laparoscopic ovarian cyst excision and its application value in overweight and obese patients.Methods Patients undergone ovarian cyst excision in our hospital in January 2019 to March 2021 were selected and divided into umbilical single-port laparoscopic surgery group and multiport laparoscopic surgery group according to operation,or normal weight group and overweight and obese group according to body mass index.The various operation indicators were analyzed.Results Compared with the multiport laparoscopy group,the single-port group had longer operation time,shorter time to get out of bed,and higher hospitalization expense(P<0.01).There were no significant differences in intraoperative bleeding,exhaust time and postoperative hospital stay(P>0.05).In comparison of overweight patients and normal weight patients undergoing single-port surgery,there were no differences in incision size,operation time,intraoperative bleeding,exhaust time,out-of-bed time,postoperative hospital stay and total hospitalization expense(P>0.05).Conclusion Transumbilical single-port laparoscopy has similar therapeutic effect in ovarian cyst excision compared to multiport laparoscopy,but single-port laparoscopy is better in promoting recovery.Increased body mass index has no effect on the application of single-port laparoscopic ovarian cyst excision.