HE Suli, LIU Haiyan, XIA Yan, DING Yan. Analysis of 54 patients with gynecological benign lesions treated by transumbilical single-port laparoscopic surgery[J]. Journal of Clinical Medicine in Practice, 2019, 23(16): 97-100. DOI: 10.7619/jcmp.201916026
Citation: HE Suli, LIU Haiyan, XIA Yan, DING Yan. Analysis of 54 patients with gynecological benign lesions treated by transumbilical single-port laparoscopic surgery[J]. Journal of Clinical Medicine in Practice, 2019, 23(16): 97-100. DOI: 10.7619/jcmp.201916026

Analysis of 54 patients with gynecological benign lesions treated by transumbilical single-port laparoscopic surgery

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  • Received Date: May 16, 2019
  • Accepted Date: June 27, 2019
  • Available Online: February 28, 2021
  • Published Date: August 27, 2019
  •   Objective  To explore the feasibility and safety of transumbilical single-port laparoscopic surgery in the treatment of benign gynecological lesions.
      Methods  The clinical data of 54 cases with benign gynecological benign lesions treated with transumbilical single-hole laparoscopic surgery from April to October 2018, and 46 cases with benign gynecological benign lesions in the same period treated by porous laparoscopic surgery were analyzed.
      Results  Fifty-four patients underwent transumbilical single-port laparoscopic surgeries successfully. There was no patient transferring to porous laparoscopic or open surgeries. The average operation time of unilateral salpingectomy was (32.31±13.48) min, the average operation time of removal of ovarian cysts was (47.62±15.86) min, the average operation time of uterine leiomyoma was (65.45±16.80) min, the average operation time of total hysterectomy was (94.00±15.17) min, the average operation time of unilateral attachment removal was (55.00±27.39) min. The operative time above in the transumbilical single-port laparoscopic surgery group showed no significant differences compared to the porous laparoscopic surgery group(P>0.05). There were no significant differences in the amount of bleeding, postoperative exhaust time, postoperative complications, total hospitalization costs(P>0.05). Postoperative satisfaction towards wound pain and appearance showed statistically significant differences.
      Conclusion  Transumbilical single-port laparoscopic surgery is feasible and is as safe as porous laparoscopic surgery. Transumbilical single-port laparoscopy is a better choice for young women with aesthetic requirements.
  • [1]
    姜海军, 宫轲. 单孔腹腔镜手术进展与未来[J]. 中国微创外科杂志, 2010, 10(1): 37-40. doi: 10.3969/j.issn.1009-6604.2010.01.016
    [2]
    Lee Y Y, Kim T J, Kim C J, et al. Single port access laparoscopic adnexal surgery versus conventional laparoscopic adnexal surgery: a comparison of peri-operative outcomes[J]. Eur J Obstet Gynecol Reprod Biol, 2010, 151(2): 181-184. doi: 10.1016/j.ejogrb.2010.03.010
    [3]
    Musquera M, Peri L, Izquierdo L, et al. Is LESS/NOTES surgery the new gold standard of minimally invasive surgery?[J]. Arch Esp Urol, 2013, 66(1): 161-167. http://europepmc.org/abstract/med/23406812
    [4]
    肖术芹, 王春阳, 韩璐, 等. 经脐单孔腹腔镜在子宫肌瘤剔除术中的应用研究[J]. 大连医科大学学报, 2018, 40(4): 340-343. https://www.cnki.com.cn/Article/CJFDTOTAL-DLYK201804012.htm
    [5]
    黄晖媛, 赵仁峰. 经脐单孔腹腔镜子宫切除术的安全性研究[J]. 中华腔镜外科杂志: 电子版, 2018, 11(1): 32-34. doi: 10.3877/cma.j.issn.1674-6899.2018.01.009
    [6]
    Gunderson C C, Knight J, Ybanez-Morano J, et al. The risk of umbilical hernia and other complications with laparoendoscopic single-site surgery[J]. J Minim Invasive Gynecol, 2012, 19(1): 40-45. doi: 10.1016/j.jmig.2011.09.002
    [7]
    纪妹, 苏玥辉, 赵瞾, 等. 经脐单孔腹腔镜手术在妇科附件手术中应用的对比研究[J]. 中国微创外科杂志, 2012, 12(7): 631-634. doi: 10.3969/j.issn.1009-6604.2012.07.017
    [8]
    Canes D, Desai M M, Aron M, et al. Transumbilical single-port surgery: evolution and current status[J]. Eur Urol, 2008, 54(5): 1020-1029. doi: 10.1016/j.eururo.2008.07.009
    [9]
    刘秀, 温蒙科, 刘海元, 等. 单孔腹腔镜与多孔腹腔镜卵巢囊肿剔除术的临床对照研究[J]. 中华妇产科杂志, 2017, 52(10): 675-678. doi: 10.3760/cma.j.issn.0529-567x.2017.10.006
    [10]
    谭宏伟, 李小娟, 胡春艳, 等. 经脐单孔腹腔镜与传统腹腔镜手术治疗输卵管妊娠的对比研究[J]. 中国微创外科杂志, 2015, 15(7): 610-612, 615. doi: 10.3969/j.issn.1009-6604.2015.07.009
    [11]
    张俊吉, 孙大为, 熊巍. 单孔腹腔镜子宫全切除术23例临床分析[J]. 中华妇产科杂志, 2014, 49(4): 287-289. doi: 10.3760/cma.j.issn.0529-567x.2014.04.010
    [12]
    马秀清, 苗庆松. 经脐单孔腹腔镜辅助阴式全子宫切除术[J]. 腹腔镜外科杂志, 2011, 16(5): 337-338. doi: 10.3969/j.issn.1009-6612.2011.05.007
    [13]
    叶焕巧, 秦炜, 贺菁蓉, 等. 经脐单孔腹腔镜手术在妇科良性附件疾病中的应用[J]. 深圳中西医结合杂志, 2016, 26(13): 72-74. https://www.cnki.com.cn/Article/CJFDTOTAL-SZZX201613034.htm
    [14]
    余杰海, 陈林, 童冲杰. 传统气腹和无气腹经脐单孔腹腔镜手术在妇科手术的应用[J]. 妇科与遗传: 电子版, 2018, 8(2): 23-25. https://www.cnki.com.cn/Article/CJFDTOTAL-FCYC201802005.htm
    [15]
    魏伟. 经脐单孔腹腔镜手术治疗良性卵巢肿瘤的疗效观察[J]. 中国内镜杂志, 2018, 24(5): 68-72. doi: 10.3969/j.issn.1007-1989.2018.05.012
    [16]
    高鑫, 胡志洪. 经脐单孔腹腔镜手术治疗妇科良性肿瘤及辅助生殖技术[J]. 吉林医学, 2018, 39(11): 2120-2121. doi: 10.3969/j.issn.1004-0412.2018.11.053
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