Department of Obstetrics and Gynecology, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio 44106, USA.
J Minim Invasive Gynecol. 2011 Mar-Apr;18(2):230-3. doi: 10.1016/j.jmig.2010.12.004.
This prospective cohort study reports our initial experience with laparoscopic surgery in ectopic pregnancy performed exclusively through an umbilical incision using a single 3-channel port. Since September 2009, we have performed single-port laparoscopic surgery in 11 patients with ectopic pregnancy. In all 11 patients, laparoendoscopic single-site salpingectomy was completed successfully without conversion to a standard laparoscopic approach or to laparotomy. The median (range) operative time was 35 (25-65) minutes, operative blood loss was 30 (5-50) mL, and duration of hospital stay was 8 (5-18) hour. No patient required a blood transfusion, and no intraoperative complications occurred. Laparoendoscopic single-site surgery is a feasible surgical approach for treatment of ectopic pregnancy. Additional studies are needed to compare this approach with conventional laparoscopic treatment.
本前瞻性队列研究报告了我们在异位妊娠中独家使用脐部切口和单 3 通道端口进行腹腔镜手术的初步经验。自 2009 年 9 月以来，我们已经在 11 例异位妊娠患者中完成了单孔腹腔镜手术。在所有 11 例患者中，腹腔镜内镜下单侧输卵管切除术均成功完成，无需转换为标准腹腔镜方法或剖腹手术。中位（范围）手术时间为 35（25-65）分钟，手术出血量为 30（5-50）毫升，住院时间为 8（5-18）小时。没有患者需要输血，也没有发生术中并发症。腹腔镜内镜下单部位手术是治疗异位妊娠的一种可行的手术方法。需要进一步的研究来比较这种方法与传统腹腔镜治疗的效果。
