Division of Gynecology, Villanova Hospital of Firenze, Florence, Italy.
Int J Gynaecol Obstet. 2010 Apr;109(1):78-80. doi: 10.1016/j.ijgo.2009.11.012. Epub 2010 Jan 13.
To present our initial experience using single access laparoscopic surgery for the treatment of benign adnexal pathologies.
Sixteen patients with benign adnexal pathologies underwent salpingoophorectomy (n=9), ovarian cyst enucleation (n=5), or salpingectomy (n=2) using a laparoendoscopic single site approach with a new multiport reusable trocar and flexible and curved-as well as standard-laparoscopic instruments.
Conversion to a multi-access standard laparoscopic technique was not required in any patient and no intraoperative complications were observed. Postoperatively, one umbilical scar infection was detected. Mean operative time was 42 minutes.
Laparoscopic single site enucleation for adnexal pathologies is feasible, safe, and effective, and has good results for cosmetic appearance and postoperative pain. Use of specialized instruments and standardization of the technique affect surgical ergonomy and operating time.
介绍我们使用单孔腹腔镜手术治疗附件良性病变的初步经验。
16 例附件良性病变患者行附件切除术（9 例）、卵巢囊肿剔除术（5 例）或输卵管切除术（2 例），采用新的多孔可重复使用套管针和灵活弯曲的以及标准腹腔镜器械进行腹腔镜下单部位手术。
没有患者需要转为多通道标准腹腔镜技术，也没有观察到术中并发症。术后发现 1 例脐部瘢痕感染。平均手术时间为 42 分钟。
腹腔镜下单部位附件切除术治疗附件病变是可行、安全、有效的，且在美容效果和术后疼痛方面有良好的效果。专用器械的使用和技术的标准化影响手术的操作舒适性和手术时间。
