Hart Stuart, Yeung Patrick, Sobolewski Craig J
Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa, FL, USA.
Surg Technol Int. 2010 Oct;20:195-206.
Laparo-endoscopic single site (LESS) surgery has recently gained broader acceptance as a less-invasive approach to traditional multi-port laparoscopic procedures. LESS hysterectomy represents the gynecologic surgeon's progression toward this goal of performing minimally invasive hysterectomy procedures through increasingly fewer incisions. Although this procedure offers improved cosmesis and potentially decreased post-operative pain, there are also many challenges to adoption of this surgical procedure. LESS hysterectomy is associated with a steep learning curve and the need for the gynecologic surgeon to adopt new technologies and develop a new set of surgical skills. Following the basic principles of LESS surgery is essential for the gynecologic surgeon to safely and efficiently adopt this surgical procedure. Advances in surgical instrumentation will continue to allow surgeons to perform increasingly complex LESS surgical procedures in the future.
经自然腔道内镜手术（LESS）作为一种比传统多端口腹腔镜手术侵入性更小的方法，近来已获得更广泛的认可。LESS子宫切除术体现了妇科外科医生朝着通过越来越少的切口进行微创子宫切除手术这一目标的进展。尽管该手术改善了美观效果并可能减轻术后疼痛，但采用这种手术方法也存在许多挑战。LESS子宫切除术与陡峭的学习曲线相关，并且妇科外科医生需要采用新技术并培养一套新的手术技能。遵循LESS手术的基本原则对于妇科外科医生安全有效地采用这种手术方法至关重要。手术器械的进步将继续使外科医生在未来能够进行越来越复杂的LESS手术。
