经脐单孔腹腔镜技术治疗妇科良性肿瘤127例效果评价

目的探究经脐单孔腹腔镜技术(TU-LESS)治疗妇科良性肿瘤的临床效果。方法天津市第四中心医院2018年6月—2019年2月经脐单孔腹腔镜下完成妇科良性肿瘤手术127例为资料,其中输卵管妊娠破裂14例,输卵管妊娠未破裂11例,卵巢黄体囊肿破裂8例,卵巢囊肿附件切除术21例,卵巢囊肿剥除术28例,子宫肌瘤剔除术9例,全子宫切除术36例。结果127例TU-LESS均顺利完成,无一例外加穿刺孔或中转开腹,无术中副损伤和并发症。术后患者疼痛感轻微,满意度高。术后病理均为良性病变,与术前诊断相符。127例均随访1~3个月,脐部切口无感染、无延迟愈合,无腹腔内出血、脐疝等术后并发症。结论TU-LESS治疗妇科良性肿瘤安全、可靠、微创、疼痛轻、术后无切口痕迹,美容优点突出,临床效果满意。

127 Cases of Transumbilical Laparoendoscopic Single-site Surgery for Gynecological Benign Tumors

Objective To evaluate the clinical effects of transumbilical laparoendoscopic single-site surgery(TU-LESS)on the gynecological benign tumors.Methods From June 2018 to February 2019,127 cases of benign gynecologic tumors in Tianjin fourth central hospital were successfully operated using TU-LESS,including 14 cases of ruptured fallopian tube pregnancy,11 cases of unruptured fallopian tube pregnancy,8 cases of ruptured corpus luteal cysts,21 cases of adnexal excision of ovarian cyst,28 cases of ovarian cyst excision,9 cases of myomectomy,36 cases of total hysterectomy.Results All the 127 cases of TU-LESS were successfully completed without any additional pore-site,conversion to open surgery,injuries or complications.The patient had mild painful feeling and higher satisfaction after TU-LESS.Postoperative pathology was totally benign,which was consistent with preoperative diagnosis.127 cases were all followed-up for 1~3 months and no case of umbilical incisional infection,delayed unions,intraperitoneal bleeding,umbilical hernia and other postoperative complications happened.Conclusion TU-LESS for the treatment of gynecological benign tumors is safe,reliable,minimally invasive,less painful,no incision marks after surgery and beautiful.The clinical effects of TU-LESS is desirable.