经脐单孔腹腔镜在妇科手术中的诊治进展
张亚运 梁宝权▲
南京医科大学附属苏州医院妇科,江苏苏州 215002
Progress of diagnosis and treatment of transumbilical single site laparoscopy in gynecological operation
ZHANG Yayun LIANG Baoquan▲
Department of Gynecology, Suzhou Hospital Affiliated to Nanjing Medical University, Jiangsu Province, Suzhou 215002, China
摘要 微创手术一直是近年来妇科手术的研究热点,其中经脐单孔腹腔镜手术因其能够在兼顾良好的手术效果的基础上,达到极致微创化等独特优势,成为了众多妇科医师共同研究的方向之一。近年来在国内外妇科医师的不断努力探索、改进下,经脐单孔腹腔镜手术逐渐趋于成熟。本文对目前妇科领域经脐单孔腹腔镜手术的研究进展予以综述。
关键词 :
微创手术 ,
经脐单孔腹腔镜 ,
多孔腹腔镜
Abstract :Minimally invasive surgery has been a research hotspot in gynecological surgery in recent years. Transumbilical laparoscopic single site surgery has become one of the common research directions of many gynecologists because of its unique advantages, such as extreme minimally invasive and satisfactory surgical results. In recent years, with the constant struggle of many gynecologists in China and abroad to explore and improve, transumbilical laparoscopic single site surgery has gradually become mature. This article reviews the progress of transumbilical laparoscopic single site surgery in gynecology.
Key words :
Minimally invasive surgery
Transumbilical single site laparoscopy
Porous laparoscope
基金资助: 江苏省妇幼保健科研项目(F201680);
江苏省青年医学重点人才项目(QNRC2016243)。
通讯作者:
▲通讯作者
[1] 孙大为.中国大陆妇科单孔腹腔镜及NOTES手术的探索发展及现状[J].中华腔镜外科杂志,2018,11(1):1-3.
[2] 何萃华,吴慕珍,潘秀兰,等.经腹腔镜的女性绝育手术74例分析[J].中国医学科学院学报,1981,3(2):106-109.
[3] 高树生,罗岳西,何元芬,等.经脐单孔腹腔镜异位妊娠输卵管切除术[J].川北医学院学报,2008,23(4):353-354.
[4] 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.
[5] 张俊吉,孙大为,熊巍,等.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.
[6] 孙大为,张俊吉,熊巍,等.单孔腹腔镜下子宫内膜癌分期手术的临床报告[J/CD].中华腔镜外科杂志:电子版,2014,7(1):10-13.
[7] 王延洲,陈功立,徐嘉莉,等.单孔腹腔镜广泛子宫切除盆腔淋巴结清扫治疗宫颈癌:一项单中心的初步研究[J].第三军医大学学报,2017,39(13):1392-1395.
[8] 权丽丽,刘艳,曲丽霞.单孔腹腔镜手术与传统腹腔镜手术治疗妇科疾病的近期疗效[J].安徽医药,2018,22(7):1309-1312.
[9] 王丹莹,刘海元,史宏晖,等.不同腹壁通道在单孔腹腔镜卵巢囊肿剔除术中的应用[J].生殖医学杂志,2017,26(7):689-693.
[10] 赵晓娟.单孔腹腔镜在年轻女性妇科手术中的应用[J].临床医学研究与实践,2018,3(6):54-55.
[11] 李敏,韩英,冯怡辰,等.单孔腹腔镜与传统腹腔镜全子宫切除术的前瞻性对照研究[J].中国内镜杂志,2012, 18(5):481-484.
[12] Russell PA,Michael LN,Vrunda B. Applying single-incision laparoscopic surgery to gyn practice:what′s involved [J]. OBG Management,2011,23(4):28-36.
[13] 高红艳,王清,任玉玲,等.单孔三通道法行单孔腹腔镜全子宫切除术初探[J/CD].中华腔镜外科杂志:电子版,2017,10(3):179-181.
[14] Baik SM,Hong KS,Kim YI,et al. A comparison of transumbilical single-port laparoscopic appendectomy and conventional three-port laparoscopic appendectomy:from the diagnosis to the hospital cost [J]. J Korean Surg Soc,2013,85:68-74.
[15] Kim HO,Yoo CH,Lee SR. Pain after laparoscopic appendectomy:a comparison of transumbilical singleport and conventional laparoscopic surgery [J]. J Korean Surg Soc,2012,82:172-178.
[16] 王巧荣.单孔腹腔镜手术、传统腹腔镜手术应用于治疗妇科附件良性病变患者的有效性分析[J].中外女性健康研究,2018(2):105-107.
[17] 孙大为,张颖.单孔腹腔镜手术在异位妊娠诊治中的应用[J].中国实用妇科与产科杂志,2017,33(9):903-906.
[18] Elazary R,Khalaileh A,Zamir G,et al. Single-trocar cholecystectomy using a flexible endoscope and articulating laparoscopic instruments:a bridge to NOTES or the final form [J]. Surg Endosc,2009,23(5):969-972.
[19] Ishikawa N,Arano Y,Shimizu S,et al. Single incision laparoscopic surgery (SILS) using cross hand technique [J]. Minim Invasive Ther Allied Technol,2009,18(6):322-324.
[20] 王延洲,陈诚,徐嘉莉,等.“筷子法”单孔腹腔镜技术在宫颈癌中的应用[J/CD].中华腔镜外科杂志:电子版,2018,11(1):28-31.
[21] 黄晓斌,谢庆煌,柳晓春,等.经脐单孔腹腔镜与多孔腹腔镜输卵管切除术疗效比较[J].中国实用妇科与产科杂志,2015,31(8):750-753.
[22] 任远,刘海元.单孔腹腔镜在子宫内膜异位症中的应用及研究进展[J/CD].中华腔镜外科杂志:电子版,2018, 11(4):248-252.
[23] 吴碧辉,陶莉莉,彭绍婵,等.单孔腹腔镜对比传统腹腔镜手术治疗输卵管妊娠的Meta分析[J].中国内镜杂志,2017,23(4):35-42.
[24] Ramirez PT,Frumovitz M,Pareja R,et al. Minimally invasive versus abdominal radical hysterectomy for cervical cancer [J]. N Engl J Med,2018,379(20):1895-1904.
[25] Melamed A,Margul DJ,Chen L,et al. Survival after minimally invasive radical hysterectomy for early-stage cervical cancer [J]. N Engl J Med,2018,379(20):1905-1914.
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