Transumbilical endoscopic surgery:History,present situation and perspectives

Transumbilical endoscopic surgery or laparo-endoscopic single site(LESS)surgery has become an exciting area of surgical development as innovation continues to move in the 21st century to minimally invasive surgery.The history,present situation and perspectives are reviewed and the nomenclature of this technique is discussed in this article.The range of this technique has been applied in almost all abdominal diseases,surgeries for morbid obesity,hernia and so on,in recent years.It is estimated that 50%-80%of traditional laparoscopic surgery could be performed transumbilically in the next five years according to the LESSCAR consensus.Although the concept of transumbilical laparoscopic surgery is gaining traction rapidly and the instruments have been improved greatly, we should not advocate for slightly improved cosmetic value over safety.Multicenter,randomized and clinical trials are necessary to further elucidate the safety and efficiency of this new technique.Research that examines the efficacy of the new instruments on the market may be helpful to simplify the confusing landscape of new and novel products designed for this purpose.

Modified technical protocol for single-port laparoscopic appendectomy using needle-type grasping forceps for acute simple appendicitis:A case report

BACKGROUND Because of the mild inflammatory status in acute uncomplicated appendicitis,our team developed a novel technical protocol for single-port laparoscopic appendec-tomy using needle-type grasping forceps(SLAN)and achieved positive clinical outcomes.However,the intraoperative procedure lacked stability and fluency due to a series of problems highlighted by the small incision design of the proto-col(only 1 cm long).Therefore,there is a growing clinical demand to further opti-mize the SLAN protocol.CASE SUMMARY An adult male patient was admitted for persistent right lower abdominal pain with preoperative computed tomography findings suggestive of appendicitis accompanied by localized peritonitis.A modified technical protocol for SLAN based on minimally invasive surgical principles was used,and the patient was confirmed to have acute simple appendicitis by postoperative pathological ana-lysis.Postoperative recovery was uneventful,and no postoperative complications,such as incision infection or severe incision pain,were observed.The patient was discharged successfully on postoperative day 2.CONCLUSION The modified technical protocol of SLAN may be a new minimally invasive surgical alternative for patients with acute simple appendicitis.

Overview of single-port laparoscopic surgery for colorectal cancers: Past, present, and the future

Single-port laparoscopic surgery (SPLS) is implemented through a tailored minimal single incision through which a number of laparoscopic instruments access. Introduction of operation-customized port system, utilization of a camera without a separate external light, and instruments with different lengths has brought the favorable environment for SPLS. However, performing SPLS still creates several hardships compared to multiport laparoscopic surgery; a single-port system inevitably leads to clashing of surgical instruments due to crowding. To overcome such difficulties, investigators has developed novel concepts and maneuvers, including the concept of inverse triangulation and the maneuvers of pivoting, spreading out dissection, hanging suture, and transluminal traction. The final destination of SPLS is expected to be a completely seamless operation, maximizing the minimal invasiveness. Specimen extraction through the umbilicus can undermine cosmesis by inducing a larger incision. Therefore, hybrid laparoscopic technique, which combined laparoscopic surgical technique with natural orifice specimen extraction (NOSE) - i.e., transvaginal or transanal route-, has been developed. SPLS and NOSE seemed to be the best combination in pursuit of minimal invasiveness. In the near future, robotic SPLS with natural orifice transluminal endoscopic surgery’s way of specimen extraction seems to be pursued. It is expected to provide a completely or nearly complete seamless operation regardless of location of the lesion in the abdomen.

Technical and instrumental prerequisites for single-port laparoscopic solo surgery:state of art

With the aid of advanced surgical techniques and instruments, single-port laparoscopic surgery(SPLS) can be accomplished with just two surgical members: an operator and a camera assistant. Under these circumstances, the reasonable replacement of a human camera assistant by a mechanical camera holder has resulted in a new surgical procedure termed singleport solo surgery(SPSS). In SPSS, the fixation and coordinated movement of a camera held by mechanicaldevices provides fixed and stable operative images that are under the control of the operator. Therefore, SPSS primarily benefits from the provision of the operator's eye-to-hand coordination. Because SPSS is an intuitive modification of SPLS, the indications for SPSS are the same as those for SPLS. Though SPSS necessitates more actions than the surgery with a human assistant, these difficulties seem to be easily overcome by the greater provision of static operative images and the need for less lens cleaning and repositioning of the camera. When the operation is expected to be difficult and demanding, the SPSS process could be assisted by the addition of another instrument holder besides the camera holder.

Transumbilical laparoscopic-assisted appendectomy in children: Clinical and surgical outcomes

The aim of this paper is to present and describe tran-sumbilical laparoscopic-assisted appendectomy in chil-dren, focusing on its technical aspects and clinical andsurgical outcomes. The surgical charts of all patientsaged between 0 and 14 years treated with transumbili-cal laparoscopic-assisted appendectomy admitted tothe authors' institution from January 2009 to Septem-ber 2013 with a diagnosis of suspected appendicitis fol-lowing clinical, laboratory and ultrasound findings werereviewed. Operating time, intraoperative findings, needfor conversion or for additional trocars, and surgicacomplications were reported. During the study period,120 patients aged between 6 and 14 years(mean age:9.9 years), 73 females(61%) and 47 males(39%),were treated with transumbilical laparoscopic-assistedappendectomy. There were 37 cases of hyperemicappendicitis(subserosal and retrocecal), 74 cases ofphlegmonous appendicitis and 9 cases of perforatedgangrenous appendicitis. It was not possible to estab-lish a correlation between grade of appendicitis andmean operating time(P > 0.05). Eleven cases(9%)needed the use of one additional trocar, while 8 pa-tients(6%) required conversion to the standard laparo-scopic technique with the use of two additional trocars. No patient was converted to the open technique. Tran-sumbilical laparoscopic-assisted appendectomy is a safe technique in children and it could be used by surgeons who want to approach other minimally invasive tech-niques.

Transumbilical single-incision endoscopic splenectomy:Report of ten cases

AIM: To investigate the feasibility and clinical application of transumbilical single-incision endoscopic splenectomy using conventional laparoscopic instruments.

First 100 cases of transvesical single-port robotic radical prostatectomy

Objective:To describe the surgical technique and report the early outcomes of the transvesical(TV)approach to single-port(SP)robot-assisted radical prostatectomy.Methods:All procedures were performed at a single center by one surgeon.We identified the first 100 consecutive patients with clinically localized prostate cancer that underwent SP TV robot-assisted radical prostatectomy using the da Vinci SP robotic surgical system.Data were collected prospectively and analyzed with descriptive statistics.The primary outcomes assessed were postoperative urinary continence,rate of biochemical recurrence,and sexual function.Results:All procedures were performed without extra ports or conversion.The median age was 62.1 years and 49.0%of the patients had abdominal surgery history.The preoperative median prostate-specific antigen value and prostate volume were 5.0 ng/mL and 33.0 mL,respectively.There were no intraoperative complications.The median operative time and estimated blood loss were 212.5 min and 100.0 mL,respectively.A total of 92.0%of patients were discharged within 24.0 h,with an overall median length of stay of 5.6 h.Only 4.0%of patients required opioid prescriptions at discharge.The median Foley catheter duration was 3 days.Positive margins were present in 15.0%of cases.Median follow-up was 10.4 months.Continence rate was immediate after Foley removal in 49.0%of cases,65.0%at 2 weeks,77.4%at 6 weeks,94.1%at 6 months,and 98.9%at 1 year.One case of biochemical recurrence(1.0%)was noted 3 months after surgery.Conclusion:The SP TV approach for radical prostatectomy cases is a safe and feasible technique for patients with clinically localized prostate cancer.This technique offers advantages of short hospital stay,minimal narcotic use postoperatively,and promising early return of urinary continence,without compromising oncologic outcomes.

郑氏4C悬吊法经脐单孔腹腔镜手术治疗宫颈癌的疗效及预后分析

目的探讨郑氏4C悬吊法经脐单孔腹腔镜手术(TU-LSSS)治疗宫颈癌的疗效,并分析其预后。方法选取我院收治的宫颈癌患者92例,并随机分为对照组(传统腹腔镜术)和观察组(郑氏4C悬吊法TU-LSSS),每组46例。比较2组患者围术期相关指标。随访3年,记录患者无进展生存期(PFS)和总生存期(OS),并分析预后的影响因素。结果与对照组比较,观察组患者手术时间更长(P<0.05),术中出血量更少(P<0.05),术后肠鸣音恢复时间、住院时间更短(P<0.05),术后3年PFS率、3年OS率更高(P<0.05)。随访3年,疾病进展或死亡共11例。经单因素分析,预后良好组与预后不良组患者肿瘤直径、临床分期、淋巴结转移、脉管浸润、治疗方法比较,差异有统计学意义(P<0.05);二元Logistic回归分析显示,肿瘤直径(≥4 cm)、临床分期(≥ⅠB2期)、淋巴结转移、脉管浸润是宫颈癌预后的危险因素(P<0.05),郑氏4C悬吊法TU-LSSS是保护因素(P<0.05)。结论郑氏4C悬吊法TU-LSSS治疗宫颈癌可有效促进患者恢复,提高3年PFS率和OS率。预后与多种因素有关,需根据不同危险因素给予针对性处理。

基于磁锚定技术的单孔腹腔镜胆囊切除手术的护理配合

目的 探讨基于磁锚定技术的单孔腹腔镜胆囊切除手术的护理配合要点。方法 分析实施磁锚定经脐单孔腹腔镜胆囊切除手术患者24例的一般资料,结合手术操作实施过程,从手术室护士角度分析如何掌握该创新手术的护理配合要点。结果 手术室护士通过术前学习磁锚定技术原理,了解磁锚定装置的使用方法及注意事项,术中准确传递磁锚定装置,避免磁锚定设备与常规手术器械间的相互干吸引扰,最终配合术者顺利完成了24例磁锚定经脐单孔腹腔镜胆囊切除手术。结论 术中实时了解术者的操作进度,准确传递器械,避免磁锚定装置和常规手术器械之间的干扰是该手术术中护理配合的重要因素。

三种腹腔镜手术在异位妊娠治疗的临床对比研究

目的比较经阴道自然腔道内镜手术(transvaginal natural orifice transluminal endoscopic surgery,v-NOTES)、经脐单孔腹腔镜手术(transumbilical laparoendoscopic single site surgery,TU-LESS)及传统腹腔镜手术治疗异位妊娠的疗效与差异。方法回顾性选取2019年6月至2022年6月扬州大学医学院附属扬州市妇幼保健院收治的异位妊娠患者121例,根据手术方式不同将纳入患者分为传统腹腔镜组(49例)、TU-LESS组(43例)和v-NOTES组(29例)。观察各组患者的年龄、体质量指数(body mass index,BMI)、血红蛋白(hemoglobin,Hb)、手术时间、术中出血、术后排气时间、术后24h视觉模拟评分法(visual analogue scale,VAS)评分、术后住院时间和满意度。结果v-NOTES组患者的排气时间、术后住院时间均显著短于传统腹腔镜组和TU-LESS组,术后24h VAS评分显著低于传统腹腔镜组和TU-LESS组(P<0.05);三组患者的术后满意度比较差异有统计学意义(H=57.364,P<0.001),且v-NOTES组>TU-LESS组>传统腹腔镜组。结论与TU-LESS和传统腹腔镜手术比较,v-NOTES治疗异位妊娠术后恢复快,疼痛轻,更加美观,但需要手术者熟练掌握。

超微通道经脐单孔腹腔镜手术与常规三孔腹腔镜手术治疗小儿腹股沟型隐睾的效果

目的:比较超微通道经脐单孔腹腔镜手术与常规三孔腹腔镜手术治疗小儿腹股沟型隐睾的效果。方法:回顾性分析2017年10月—2022年7月福建医科大学附属泉州第一医院收治的348例腹股沟型隐睾患儿的临床资料。根据手术方式的不同将其分为对照组(193例)和观察组(155例)。对照组采用常规三孔腹腔镜手术,观察组采用超微通道经脐单孔腹腔镜手术。比较两组临床疗效,围手术期指标,并发症,术后1个月睾丸血运,腹部瘢痕长度。结果:两组治疗总有效率比较,差异无统计学意义(P>0.05)。两组手术时间比较,差异无统计学意义(P>0.05);观察组术中出血量少于对照组,术后住院时间短于对照组,差异有统计学意义(P<0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。观察组术后1个月收缩期峰值血流速度(PSV)、舒张末期最小血流速度(MOV)与阻力指数(RI)均低于对照组,差异有统计学意义(P<0.05)。观察组腹部瘢痕长度短于对照组,差异有统计学意义(t=21.150,P<0.001)。结论:与常规三孔腹腔镜手术治疗相比,超微通道经脐单孔腹腔镜手术术中出血量更少、术后住院时间更短,对睾丸血运影响更小。

Clinical feasibility of laparoscopic left lateral segment liver resection with magnetic anchor technique:The first clinical study from China

BACKGROUND Magnetic anchor technique(MAT)has been applied in laparoscopic cholecystectomy and laparoscopic appendectomy,but has not been reported in laparoscopic partial hepatectomy.AIM To evaluate the feasibility of the MAT in laparoscopic left lateral segment liver resection.METHODS Retrospective analysis was conducted on the clinical data of eight patients who underwent laparoscopic left lateral segment liver resection assisted by MAT in our department from July 2020 to November 2021.The Y-Z magnetic anchor devices(Y-Z MADs)was independently designed and developed by the author of this paper,which consists of the anchor magnet and magnetic grasping apparatus.Surgical time,intraoperative blood loss,intraoperative accidents,operator experience,postoperative incision pain score,postoperative complications,and other indicators were evaluated and analyzed.RESULTS All eight patients underwent a MAT-assisted laparoscopic left lateral segment liver resection,including three patients undertaking conventional 5-port and five patients having a transumbilical single-port operation.The mean operation time was 138±34.32 min(range 95-185 min)and the mean intraoperative blood loss was 123±88.60 mL(range 20-300 mL).No adverse events occurred during the operation.The Y-Z MADs showed good workability and maneuverability in both tissue and organ exposure.In particular,the operators did not experience either a“chopstick”or“sword-fight”effect in the single-port laparoscopic operation.CONCLUSION The results show that the MAT is safe and feasible for laparoscopic left lateral segment liver resection,especially,exhibits its unique abettance for transumbilical single-port laparoscopic left lateral segment liver resection.

经脐单孔腹腔镜高位骶韧带悬吊、髂耻韧带固定治疗中盆腔缺陷为主的盆腔器官脱垂

目的探讨经脐单孔腹腔镜高位骶韧带悬吊、髂耻韧带固定治疗中盆腔缺陷为主的盆腔器官脱垂的疗效。方法回顾性分析2017年6月~2023年6月中盆腔缺陷为主的盆腔器官脱垂15例资料,行经脐单孔腹腔镜高位骶韧带悬吊、髂耻韧带固定术。术后1年采用妇科检查(POP-Q系统)及应力状态盆腔MRI检查进行客观评估;采用盆底不适调查表简表(Pelvic Floor Distress Inventory Short Form,PFDI-20)、盆腔器官脱垂及尿失禁性生活问卷(Pelvic Organ Prolapse-Urinary Incontinence Sexual Questionnaire,PISQ-12)进行主观评估。结果手术时间65~135 min,(102.9±16.3)min,出血20~50 ml,术后住院时间6~9 d。随访时间6~72个月,(42.8±22.3)月,其中14例≥12个月,均未出现盆腔疼痛、腰骶部疼痛、尿潴留、线带暴露。1例术后1年出现压力性尿失禁(stress urinary incontinence,SUI)。1例失败(Ⅱ度),客观成功率93.3%(14/15)。术后1年盆腔MRI解剖标志点至耻尾线的距离较术前明显提高(P<0.01),PFDI-20、PISQ-12评分较术前明显改善(P<0.01)。结论经脐单孔腹腔镜高位骶韧带悬吊、髂耻韧带固定是治疗有手术指征的中盆腔缺陷为主的盆腔器官脱垂安全、有效的互助术式,改善盆底功能和生活质量,简单易掌握,且耗材费用低,适合基层医院开展。

改良经脐单孔腹腔镜手术治疗不明性质卵巢肿瘤的效果探析

目的:分析改良经脐单孔腹腔镜手术治疗不明性质卵巢肿瘤的效果,为不明性质卵巢肿瘤患者找到一种高效、安全的治疗方法。方法:选择2022年1月—2024年1月广安市广安区人民医院收治的90例不明性质卵巢肿瘤患者作为研究对象,采用随机数表法将其分为对照组和观察组,各45例。观察组采用改良经脐单孔腹腔镜手术治疗,对照组采用传统多孔腹腔镜手术治疗。比较两组手术时间、术中出血量、术后排气时间、术后住院时间及并发症发生率。结果:观察组术中出血量少于对照组,手术时间、术后排气时间、术后住院时间短于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:改良经脐单孔腹腔镜手术治疗不明性质卵巢肿瘤的效果显著,具有创伤小、出血量少、并发症少、恢复快等优势。

改良经脐单孔腹腔镜子宫肌瘤剔除术的临床应用效果分析

目的评估改良经脐单孔腹腔镜子宫肌瘤剔除术的临床应用价值。方法回顾性分析行腹腔镜下子宫肌瘤剔除术患者75例,按手术方式不同分为改良经脐单孔腹腔镜组(38例,行改良经脐单孔腹腔镜子宫肌瘤剔除术,脐部自制Port及左下腹0.5 cm预置引流孔)、传统多孔腹腔镜组(37例,行传统多孔腹腔镜子宫肌瘤剔除术)。比较两组手术时间,术中出血量,术后引流管拔除时间,抗生素使用情况,术后住院时间,住院费用。结果改良经脐单孔腹腔镜组与传统多孔腹腔镜组的手术时间[(76.26±22.10)min VS(83.24±22.21)min,P=0.177]及术中出血量[(55.52±32.85)ml VS(63.51±27.71)ml,P=0.259]比较,差异无统计学意义(P>0.05);改良经脐单孔腹腔镜组与传统多孔腹腔镜组的术后引流管拔除时间[(48.42±19.16)h VS(64.72±21.87)h,P=0.001]及术后住院时间[(4.18±1.01)d VS(5.08±1.08)d,P=0.000]比较改良经脐单孔腹腔镜组更短,抗生素使用率[31.58%(12/38)VS 54.05%(20/37),P=0.049]及住院费用[(14.02±2.2)千元VS(15.73±2.8)千元,P=0.004]比较改良经脐单孔腹腔镜组更低(P<0.05)。结论改良经脐单孔腹腔镜子宫肌瘤剔除术兼顾无瘤化操作及更微创的手术效果,通过改良手术步骤,使其手术难度与传统多孔腹腔镜相比无明显增加,值得临床推广。

经脐单孔腹腔镜手术治疗输卵管妊娠的效果分析

目的分析在经脐单孔腹腔镜下对输卵管妊娠患者做患侧输卵管切除手术的效果。方法回顾性选取2021年5月—2023年10月沭阳县妇幼保健院妇产科收治的64例输卵管妊娠患者的临床资料,根据手术方法不同分为对照组(n=32,传统腹腔镜+患侧输卵管切除)和观察组(n=32,经脐单孔腹腔镜+患侧输卵管切除),比较两组手术情况、术后恢复情况、并发症发生率。结果与对照组比较,观察组手术用时较长,差异有统计学意义(P<0.05)。两组术中出血量比较,差异无统计学意义(P>0.05)。与对照组比较,观察组术后首次排气和住院时间均更短、且其术后疼痛评分更低、切口美观度评分越高,差异有统计学意义(P均<0.05)。观察组术后并发症发生率为6.25%,低于对照组的15.63%,但差异无统计学意义(χ^(2)=0.642,P>0.05)。结论相比传统腹腔镜,虽然经脐单孔腹腔镜患侧输卵管切除术治疗输卵管妊娠的手术用时较长,但术后恢复迅速、切口美观、安全性高。

不同入路通道经脐单孔腹腔镜手术治疗非创伤性急腹症的效果

目的:探讨不同入路通道经脐单孔腹腔镜手术治疗非创伤性急腹症的效果。方法:将本院收治的87例非创伤性急腹症患者依据随机数字表法分为两组;两组患者均给予术前准备,常规组(43例)行常规腹腔镜手术治疗,经脐组(44例)行经脐单孔腹腔镜手术治疗;观察两组患者手术相关指标、血清细胞因子水平、疼痛程度、生活质量恢复情况及并发症发生率。结果:两组患者手术时间及术中出血量比较无统计学意义(P>0.05),经脐组术后排气时间、术后进食时间、卧床时间及住院时间短于常规组(P<0.05);术后,经脐组TNF-α、IL-6、hs-CRP水平均低于常规组(P<0.05);术后1、2、3 d,两组患者的视觉模拟(VAS)评分均下降,且经脐组低于常规组(P<0.05);经脐组并发症发生率4.54%低于常规组20.92%(P<0.05)。结论:非创伤性急腹症患者采用经脐单孔腹腔镜手术治疗可以提高各项手术指标,减轻炎症水平,缓解疼痛,降低并发症的发生。

经脐单孔腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝的临床效果及对术后并发症发生情况的影响

目的分析经脐单孔腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝的临床效果。方法选择2021年9月至2023年9月收治的82例腹股沟斜疝患儿作为研究对象,以治疗方案差异将其分为对照组和研究组,各41例。对照组接受下腹横纹小切口手术治疗,研究组接受经脐单孔腹腔镜疝囊高位结扎术治疗。比较两组的手术效果。结果两组的单侧疝手术时间、双侧疝手术时间及术中出血量比较,差异无统计学意义(P>0.05);研究组的术后12 h疼痛评分低于对照组,术后下床活动时间、住院时间短于对照组,差异具有统计学意义(P<0.05)。术前,两组的肿瘤坏死因子-α(TNF-α)、C-反应蛋白(CRP)、免疫球蛋白A(IgA)、免疫球蛋白M(IgM)、免疫球蛋白G(IgG)水平比较,差异无统计学意义(P>0.05);术后2 d,研究组的TNF-α、CRP水平低于对照组,IgA、IgM、IgG水平高于对照组,差异具有统计学意义(P<0.05)。研究组的并发症总发生率低于对照组(P<0.05);两组的复发率比较,差异无统计学意义(P>0.05)。结论腹横纹小切口手术与经脐单孔腹腔镜疝囊高位结扎术均能降低小儿腹股沟斜疝复发风险,但后者创伤小、手术切口更为隐蔽、并发症少,还能妥善处理双侧疝,利于促进患儿术后恢复,具有更高的应用价值。

优质护理联合中医特色护理在经脐单孔腹腔镜手术治疗小儿腹股沟斜疝后的应用效果分析

目的分析在小儿腹股沟斜疝经脐单孔腹腔镜手术治疗后使用优质护理联合中医特色护理的效果。方法选择2022年4月—2023年4月于我院行经脐单孔腹腔镜手术治疗的60例腹股沟斜疝患儿为研究对象,采用随机信封法将其分为对照组和观察组,各30例。对照组术后接受常规护理,观察组术后接受优质护理联合中医特色护理。对比两组患儿术后疼痛时间、住院天数、并发症发生率及护理满意度。结果观察组患儿术后疼痛时间、住院天数均短于对照组,组间差异有统计学意义(P<0.05)。观察组患儿术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组患儿家长护理满意度为100.00%,高于对照组的73.33%,差异有统计学意义(P<0.05)。结论优质护理联合中医特色护理应用于小儿腹股沟斜疝经脐单孔腹腔镜手术治疗后能有效降低并发症发生率,减少术后疼痛程度,缩短住院时间,患儿家属对护理的满意程度较高,具备推广和使用价值。

经脐单孔腹腔镜手术治疗卵巢良性肿瘤的临床效果

目的:分析卵巢良性肿瘤患者采用经脐单孔腹腔镜手术治疗的临床效果。方法:选取2020年1月—2023年1月安顺市人民医院收治的卵巢良性肿瘤患者90例为研究对象,随机分为对照组和研究组,各45例。对照组采用传统多孔腹腔镜手术治疗,研究组采用经脐单孔腹腔镜手术治疗。比较两组患者手术指标、美容满意度评分、疼痛评分及术后并发症。结果:研究组手术时间、术后排气时间、下床活动时间、住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。研究组美容满意度评分高于对照组,差异有统计学意义(P<0.001);研究组术后2、24 h、48 h视觉模拟评分均低于对照组,差异有统计学意义(P<0.001)。研究组术后并发症发生率低于对照组,差异有统计学意义(P<0.001)。结论:与传统多孔腹腔镜手术相比,经脐单孔腹腔镜手术治疗卵巢良性肿瘤效果显著,可减轻患者术后疼痛程度,手术时间短,并发症发生率低,且术后美容满意度评分高,有助于加快患者康复速度。