Department of Obstetrics and Gynecology, Gangnam CHA Medical Center, CHA University, Seoul, Korea.
J Minim Invasive Gynecol. 2010 Jan-Feb;17(1):26-9. doi: 10.1016/j.jmig.2009.09.008. Epub 2009 Nov 18.
To evaluate the feasibility of a single-port laparoscopic salpingectomy in the surgical treatment of tubal pregnancy.
Prospective cohort study (Canadian Task Force classification II-2).
University teaching hospital
Twenty women with tubal pregnancy, as determined by ultrasonography.
All patients have undergone single-port laparoscopic salpingectomy. Entry through a single port was established with a wound retractor as fascial retractor and a surgical glove, which served as the working channels for the laparoscopic equipment. A 30-degree laparoscope and a rigid or flexible grasper were used during the procedure.
Single-port laparoscopic salpingectomy was successfully performed in all 20 patients with ectopic pregnancy. The median operative time was 55 minutes (range 25-85 minutes), and blood loss in all patients was minimal. The median difference between preoperative and postoperative hemoglobin was 1.8 g/dL (range 0-3.2 g/dL). The median postoperative hospital stay was 2 days (range 2-4 days). No complication was encountered, nor was there any need for conversion to conventional laparoscopy.
Single-port laparoscopic salpingectomy is feasible and promising. However, for drawing the definite conclusion of the surgical efficacy, additional investigations to compare this approach with conventional laparoscopy are needed.
评估单孔腹腔镜输卵管切除术在输卵管妊娠手术治疗中的可行性。
前瞻性队列研究（加拿大工作队分类 II-2）。
大学教学医院
经超声检查确诊为输卵管妊娠的 20 名女性。
所有患者均行单孔腹腔镜输卵管切除术。通过一个切口扩张器作为筋膜牵开器和一个手术手套建立单孔进入，该手套用作腹腔镜设备的工作通道。手术过程中使用 30 度腹腔镜和刚性或柔性抓钳。
20 例异位妊娠患者均成功完成单孔腹腔镜输卵管切除术。中位手术时间为 55 分钟（范围 25-85 分钟），所有患者的出血量均较少。术前和术后血红蛋白中位数差值为 1.8 g/dL（范围 0-3.2 g/dL）。中位术后住院时间为 2 天（范围 2-4 天）。未发生并发症，也无需转为传统腹腔镜。
单孔腹腔镜输卵管切除术是可行且有前途的。然而，为了得出手术疗效的明确结论，需要进行额外的研究来比较这种方法与传统腹腔镜的效果。
