Patsner B
New Jersey Gynecologic Oncology, P.A., 180 White Road, Suite 102, Little Silver, NJ 07739, USA.
J Am Assoc Gynecol Laparosc. 1999 Aug;6(3):323-5. doi: 10.1016/s1074-3804(99)80069-3.
To describe a technique of laparoscopy and multiport operative pelviscopy using left upper quadrant primary port insertion.
Retrospective evaluation (Canadian Task Force classification II-2).
Private gynecologic oncology practice.
Ninety women with a history of gynecologic cancer and at least one laparotomy.
Laparoscopy and operative pelviscopy.
The procedure was performed using the left upper quadrant as a single entry site for the Veress needle and primary laparoscopy port. In 88 women it was performed without complication. One woman experienced transverse colon injury from primary port insertion, which was repaired immediately by laparotomy. A second patient had a rectosigmoid injury that required temporary colostomy at laparotomy.
Operative laparoscopy using the left upper quadrant approach seems to be safe in patients with advanced gynecologic malignancy. (J Am Assoc Gynecol Laparosc 6(3):323-325, 1999)
描述一种使用左上腹主要穿刺点插入法进行腹腔镜检查和多端口手术盆腔镜检查的技术。
回顾性评估（加拿大工作组分类II-2）。
私人妇科肿瘤学诊所。
90名有妇科癌症病史且至少接受过一次剖腹手术的女性。
腹腔镜检查和手术盆腔镜检查。
该手术以左上腹作为Veress针和主要腹腔镜穿刺点的单一进入部位进行。88名女性手术过程中无并发症。一名女性在主要穿刺点插入时发生横结肠损伤，立即通过剖腹手术修复。第二名患者发生乙状结肠直肠损伤，剖腹手术时需要进行临时结肠造口术。
对于晚期妇科恶性肿瘤患者，采用左上腹入路的手术腹腔镜检查似乎是安全的。（《美国妇科腹腔镜医师协会杂志》6(3):323-325, 1999年）
