手套接口单孔腹腔镜手术治疗附件良性病变的临床分析

Clinical analysis of the application of laparoendoscopic single-site surgery with glove port in benign adnexal diseases

摘要:

摘要：目的 探讨手套接口单孔腹腔镜技术用于治疗输卵管、卵巢良性病变的可行性。方法 回顾性分析该院2018年1月－2018年5月收治的86例腹腔镜下输卵管切除及卵巢肿瘤剥除术患者的临床资料，根据不同手术方式分为单孔腹腔镜（LESS）组（30例）和多孔腹腔镜（MPLS）组（56例），LESS组30例患者均采用外科无菌手套接切口保护圈为手术入路，配合常规腹腔镜器械进行操作。分析比较两组的手术时间、出血量、术后疼痛和术后并发症等方面差异。结果 两组术后排气时间、术后住院时间、手术费用和异位妊娠术后β-人绒毛膜促性腺激素（β-HCG）水平恢复正常时间等指标比较，差异均无统计学意义（P >0.05），而LESS组手术时间较MPLS组延长，术中出血量明显增多，但美容效果满意。结论 LESS用于治疗附件良性病变是一种可行的手术方式，且手术切口美观，手术效果确切。

Abstract:

Abstract: Objective To explore the feasibility of laparoendoscopic single-site surgery with glove port on patients with benign fallopian tube for ovarian diseases. Methods We retrospectively analyzed the clinical data of 86 patients underwent laparoscopic surgery (laparoscopic salpingectomy or ovarian tumorectomy) from Jan to May 2018. These patients were divided into two groups by different surgical methods: laparoendoscopic single-site group (LESS group, n = 30) and multi-port laparoscopic group (MPLS group, n = 56). The surgical access of LESS group was obtained via the glove port and a circular wound retractor. The operation was performed using conventional laparoscopic devices. The operation time, intraoperative blood loss, postoperative pain scores, postoperative complications between the two groups were compared. Results There were no significant differences in postoperative exhaust time, postoperative hospital stay, cost of the surgery, the time of β-HCG declining to normal level between the two groups (P > 0.05). LESS group has longer operation time and more intraoperative blood loss. However, cosmetic result in LESS group is better than that in MPLS group. Conclusion Laparoendoscopic single-site surgery is a safe and effective approach, with better cosmetic effects in treatment of benign adnexal diseases.