摘要
目的报告华南地区首例经脐单孔腹腔镜(laparo-endoscopic single-site surgery,LESS)辅助阴式子宫切除术,探讨其可行性及安全性。方法 42岁女性,术前诊断为多发性子宫肌瘤,行经脐LESS辅助阴式子宫切除术,于脐轮上方取2 cm的弧形切口,置入单孔多通道套管建立手术通路。结果手术成功完成,手术总时间2.5 h,LESS部分2.0 h。术中没有增加其它通道,没有中转开腹,术中出血100 ml,术后1 d即恢复肠蠕动,术后阴道残端愈合好,无阴道流血,腹部切口呈II/甲愈合,与脐轮完美融合一体。结论随着手术技巧的提高以及手术器械的改进,LESS具有更为微创更加美观的优势,有望成为治疗妇科疾病甚至是妇科恶性肿瘤的安全可靠的方法之一。
Objective To report the first case of transumbilical laparoendoscopic single-site surgery-assisted vaginal hysterectomy in South China,and discuss its feasibility and safety.Methods A 42-year-old woman with multiple myoma of the uterus underwent laparoendoscopic single-site surgery-assisted vaginal hysterectomy performed using a single multiple-channel port inserted through a solitary 2 cm upper umbilicus incision.Results The total operative time was 3 h,and duration of the laparoendoscopic procedure was 2 h.The surgery was completed uneventfully without an additional port incision or transfer to open surgery.The intraoperative blood loss was 100 ml.Bowel peristalsis was recovered 3 days after the operation.The vaginal stump and abdominal incision healed smoothly without occurrence of vaginal bleeding.Conclusion With the development of surgical instruments and improvement of the surgeons＇ skills,laparoendoscopic single-site surgery,due to its invasiveness,can be a promising approach to the management of gynecological disease including gynecological malignant tumors.
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2011年第8期1327-1329,共3页
Journal of Southern Medical University
关键词
单孔腹腔镜手术
经脐
腹腔镜辅助阴式子宫切除术
laparoendoscopic single-site surgery
transumbilicus
laproscopic assisted vaginal hysterectomy
