Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia, Pennsylvania, USA.
J Minim Invasive Gynecol. 2011 Jan-Feb;18(1):12-23. doi: 10.1016/j.jmig.2010.07.013. Epub 2010 Oct 20.
The objective of this article was to review the published literature on laparoendoscopic single-site surgery (LESS) in gynecology and to present current advances in instruments used in LESS surgery. Inasmuch as LESS surgery is relatively new, the current literature on use of this technique in gynecology is somewhat limited. Sixteen articles were available for the literature review: 10 case series, 2 comparative studies, 3 case reports, and 1 surgical technique demonstration. In recent years, however, improvements in traditional laparoscopic techniques and availability of more advanced instruments has made single-incision laparoscopy more feasible and safer for the patient. There is increasing interest in LESS surgery both as an alternative to traditional laparoscopy and as an adjunct to robotic surgery when performing complicated procedures through a single incision. Although LESS surgery provides another option in the arena of minimally invasive gynecologic surgery, the ultimate role of this approach remains to be determined.
本文旨在回顾妇科腹腔镜单孔手术（LESS）的已发表文献，并介绍 LESS 手术中使用的器械的最新进展。由于 LESS 手术相对较新，因此目前妇科领域关于该技术的应用文献有些有限。有 16 篇文章可用于文献综述：10 篇病例系列，2 篇对照研究，3 篇病例报告和 1 篇手术技术演示。然而，近年来，传统腹腔镜技术的改进和更先进器械的可用性使单切口腹腔镜手术对患者来说更加可行和安全。LESS 手术作为传统腹腔镜手术的替代方法，以及在通过单个切口进行复杂手术时作为机器人手术的辅助手段，越来越受到关注。尽管 LESS 手术为微创妇科手术领域提供了另一种选择，但这种方法的最终作用仍有待确定。
