摘要
目的通过单孔腹腔镜与传统多孔腹腔镜手术的对比研究,探讨应用单孔腹腔镜开展常见妇科手术的可行性。方法回顾性分析湖南师范大学附属第一医院湖南省人民医院妇科2018年1月至2020年3月完成的110例单孔腹腔镜手术(单孔组)临床资料,与同期开展的110例传统多孔腹腔镜手术(多孔组)进行对比。结果单孔组与多孔组患者一般情况(年龄、体质量指数、包块直径、血HCG值、子宫最大直径)比较,差异无统计学意义(P>0.05)。两组手术均顺利完成,未中转开腹,无手术并发症。输卵管切除术两组对比,单孔组手术时间较长、术中出血量较多、术后12 h疼痛视觉模拟评分(visual analogue scale,VAS)较低、术后住院时间较短,差异有统计学意义(P<0.05);卵巢囊肿剥除或附件切除术两组对比,单孔组手术时间较长、术后12 h VAS较低,差异有统计学意义(P<0.05);全子宫切除术两组结果对比,单孔组手术时间较长、术中出血量较多、术后12 h VAS较低,差异有统计学意义(P<0.05)。结论应用单孔腹腔镜开展常见妇科手术切实可行。
Objective To investigate the feasibility of using laparoendoscopic single site surgery(LESS)to carry out common gynecological operations by comparing LESS with traditional porous laparoscopy.Methods Clinical data of 110 cases of LESS performed in the department of gynecology of Hunan Provincial People′s Hospital from Jan.2018 to Mar.2020 were retrospectively analyzed,and compared with 110 cases of traditional porous laparoscopic surgery performed in the same period.Results There were no statistical differences in general conditions(age,BMI,mass diameter,blood HCG value,maximum uterine diameter)between the two groups(>0.05).The operation in both groups was successfully completed without transfer to laparotomy and no surgical complications.Comparison of the results of salpingectomy between the two groups:the LESS group had longer operation time,more intraoperative blood loss,lower VAS 12 hours after surgery,and shorter postoperative hospital stay,and the differences were statistically significant(<0.05).Comparison of the results of ovarian cyst excision or adnexectomy between the two groups:the LESS group had longer operation time and lower VAS 12 hours after surgery,the differences were statistically significant(<0.05).Comparison of the results of total hysterectomy between the two groups:the LESS group had longer operation time,more intraoperative blood loss,and lower VAS 12 hours after operation,the difference was statistically significant(<0.05).Conclusions It is feasible to carry out common gynecological operations by LESS.
作者
朱可安
陈灵
李昭
黄薇
Zhu Kean;Chen Ling;Li Zhao;Huang Wei(Department of Gynecology, Hunan Provincial People′s Hospital, Changsha 410006, China)
出处
《中华腔镜外科杂志（电子版）》
2021年第3期158-162,共5页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
基金
2021年度湖南省委属医院临床创新技术建设项目([2020]258)。
关键词
单孔腹腔镜
妇科良性疾病
微创手术
Laparoendoscopic single site surgery
Benign gynecologic diseases
Minimally invasive surgery
作者简介
通信作者:黄薇,Email:672158398@qq.com。
