经脐单孔腹腔镜剔除特殊部位子宫肌瘤

Surgical techniques for removal of uterine fibroids in special parts by transumbilical single-site laparoscopy

近年来,经脐单孔腹腔镜手术在子宫肌瘤剔除术的应用日趋广泛,但特殊部位(子宫颈、阔韧带)的子宫肌瘤因其周围解剖关系复杂,手术难度大,通常采用开腹或多孔腹腔镜手术。随着技术的发展成熟和操作技巧的进步提高,经脐单孔腹腔镜下特殊部位子宫肌瘤剔除术已经可以实现。本文就该术式的手术难点与适应证、术前评估和准备、手术要点及技巧做一阐述。

In recent years,transumbilical laparoendoscopic single-site surgery has been widely used in hysteromyomectomy.However,uterine fibroids in special parts(cervix,broad ligament)are often treated with open or multi-port laparoscopic surgery due to their complex surrounding anatomical relationships and high surgical difficulty.With the development of technology and the improvement of operating skills,the removal of uterine fibroids in special parts through transumbilical single-site laparoscopy has been achieved.In this paper,the operative difficulties and indications,preoperative evaluation and preparation,operative key points and techniques of this operation are described.