摘要
目的报告单孔腹腔镜乙状结肠代阴道手术治疗先天性无阴道的初步经验,探讨其可行性、效果和操作方法。方法总结该院于2010年8月首次与妇科联合开展的单孔腹腔镜乙状结肠代阴道手术临床资料,患者年龄21岁,诊断为先天性无阴道。采用经脐部单一小切口的方法,游离移植乙状结肠作为人工阴道,经会阴部建立人工隧道完成结肠的吻合重建及建立人工阴道,除脐部切口外,不再遗留任何瘢痕,最大限度减少手术痕迹。结果手术时间160 min,术中失血量100 mL,术后住院时间11 d。无肠吻合口漏,无移植段乙状结肠缺血坏死发生。术后脐部切口愈合良好,瘢痕隐蔽,美容效果好。结论单孔腹腔镜乙状结肠代阴道成形术具有良好的美容效果和心理满意度,操作方法可行。
[ Objective ] To report our primary experience of single incision laparoseopic sigmoid colpopoiesis in the treatment of congenital absence of vagina and to discuss its technical feasibility ,effect and operative techniques. [Methods] The clinical data of our first case single incision laparosciopie sigmoid colpopoieses performed in 2010 was collected. A 21 girl with congenital absence of vagina underwent this new operation. Only one small incision was created on the umbilicus. A segment of sigmoid colon was transplanted to the pelvic as an artificial vagina. No other unnecessary scar besides the umbilical incision was left on the abdominal wall. [ Results ] The operation duration was 160 rain. The blood lose in operation was 100 mL. The postoperative hospitalization was 11 days. No anastomot- ic leakage or sigmoid colon graft ischemic necrosis occurred. The umbilical incision showed a satisfactory cosmetic effect. [ Conclusion ] Single incision laparoscopic sigmoid eolpopoiesis is safe and feasible and has a better cosmetic effect.
出处
《中国内镜杂志》
CSCD
北大核心
2013年第9期902-905,共4页
China Journal of Endoscopy
基金
辽宁省科学技术计划项目(No.2009219004)
关键词
单孔腹腔镜
阴道成形
先天性无阴道
single incision laparoscopy
neovaginal
vaginal aplasia
