Paek Jiheum, Nam Eun Ji, Kim Young Tae, Kim Sang Wun
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.
J Laparoendosc Adv Surg Tech A. 2011 Mar;21(2):137-41. doi: 10.1089/lap.2010.0313. Epub 2011 Feb 1.
The aim of this report was to investigate ways to overcome technical difficulties of the single-port access (SPA) laparoscopic surgery using conventional laparoscopic instruments in gynecology.
We performed 140 cases of SPA total laparoscopic hysterectomy for benign gynecologic diseases and 40 cases of two-port access laparoscopic surgery for gynecologic cancers. The conventional laparoscopic instruments, including a 45-cm-long, 5-mm-diameter, 30-degree-angled laparoscope, a 90-degree light cable adaptor, a curved instrument, and nonbulky trocars, and intracorporeal suturing and tying technique were used.
All operations were laparoscopically completed with no conversion to conventional laparoscopy or laparotomy. We obtained tolerable surgical outcomes with these instruments.
As the technical difficulties have been overcome, the SPA laparoscopic surgery will be a more and more widespread procedure in the gynecologic field with only minimal skin incision.
本报告旨在探讨在妇科领域使用传统腹腔镜器械克服单孔腹腔镜手术（SPA）技术困难的方法。
我们对140例良性妇科疾病患者实施了单孔全腹腔镜子宫切除术，对40例妇科癌症患者实施了双孔腹腔镜手术。使用了传统的腹腔镜器械，包括一根45厘米长、直径5毫米、30度角的腹腔镜、一个90度光导纤维适配器、一个弯曲器械、小型套管针以及体内缝合和打结技术。
所有手术均通过腹腔镜完成，无需转为传统腹腔镜手术或开腹手术。使用这些器械我们获得了可接受的手术效果。
由于技术困难已被克服，单孔腹腔镜手术在妇科领域将成为一种切口极小且应用越来越广泛的手术方式。
