Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
J Gynecol Oncol. 2011 Jun 30;22(2):127-30. doi: 10.3802/jgo.2011.22.2.127.
Minimally invasive surgery is widely used in benign gynecologic diseases and may be used in malignancies. We performed a single-port access laparoscopy staging - bilateral salpingo-oophorectomy, laparoscopy-assisted vaginal hysterectomy, bilateral pelvic lymphadenectomy, infracolic omentectomy, and washing cytology - in a borderline ovarian tumor. The number of harvested pelvic lymph nodes were twenty-three and there were no intraoperative or postoperative complications. Single-port access laparoscopic staging may be performed in selected patients. The efficacy, safety, and potential benefits of this technique should be evaluated in further trials.
微创手术广泛应用于良性妇科疾病,也可能应用于恶性肿瘤。我们对 1 例交界性卵巢肿瘤患者实施了经脐单孔腹腔镜分期手术(双侧输卵管卵巢切除术、腹腔镜辅助阴式子宫切除术、双侧盆腔淋巴结清扫术、大网膜切除术和腹腔冲洗细胞学检查)。共清扫盆腔淋巴结 23 枚,无术中及术后并发症。经脐单孔腹腔镜分期手术可适用于某些特定患者。该技术的疗效、安全性及潜在获益尚需进一步临床试验来评估。