妇科良性疾病经脐单孔腹腔镜子宫切除术的优劣势评价

Advantages and disadvantages of transumbilical laparo-endoscopic single-site(LESS)hysterectomy for benign disease

经脐单孔腹腔镜全子宫切除术与多孔腹腔镜于20世纪同期起步,受制于内镜技术及单一小切口手术通道的诸多因素,此项技术较多孔腹腔镜进展缓慢,多孔腹腔镜子宫切除术占据明显优势,良性疾病的子宫全切除术主要通过多孔腹腔镜完成。近10年来,随着单孔腹腔镜手术器械和手术经验不断优化和积淀,单孔腹腔镜子宫切除术在多孔腹腔镜的“夹缝”中重获新生,其优势逐渐凸显,不仅可与多孔腹腔镜子宫切除术相媲美,而且备受妇科医生和患者所青睐。文章重点阐述经脐单孔腹腔镜全子宫切除术手术特点、适应证以及优与劣的相关问题。

The transumbilical laparo-endoscopic single-site(LESS)hysterectomy was applied at the same time as the multi-port laparoscopy in 20th century.But due to many limiting factors of endoscopic technology and single small incision surgical access,the progress of this technology develop more slowly than the multi-port laparoscopy hysterectomy.Because of the obvious advantages of multi-port laparoscopic hysterectomy,total hysterectomy is mainly completed by the multi-port laparoscopy.In the recent decade,with the optimaization of surgical instruments for laparo-endoscopic single-site and surgical experiences accumulation,the transumbilical laparo-endoscopic single-site(LESS)hysterectomy has been reborn in the"crevice"of multi-port laparoscopy,and its advantages are gradually emerging.It is not only comparable to multi-port laparoscopic hysterectomy,but also highly favoured by gynaecologists and patients.So this article mainly focuses on the related issues of surgery characteristics,indications,and advantages and disadvantages of the LESS hysterectomy.