Lamourdedieu C, Rua S, Lazard A, Marcelli M, Cravello L, Gamerre M, Agostini A
Service de gynécologie obstétrique, hôpital La-Conception, 147, boulevard Baille, 13005 Marseille, France.
J Gynecol Obstet Biol Reprod (Paris). 2011 Nov;40(7):620-5. doi: 10.1016/j.jgyn.2011.06.006. Epub 2011 Oct 17.
To evaluate feasibility of surgical treatment for ectopic pregnancy with single laparoscopic access with SILS(®) system.
We conducted an open study from 1/7/2009 to 1/12/2010 in a single gynaecologic department. All procedures were performed by three operators. Procedures evaluated were corneal resection, salpingotomy, salpingectomy. Feasibility, per- and postoperative data were reported.
We performed completely 31 over 32 (97%) surgical procedures with SILS(®) system (27 salpingectomies and five salpingotomies). In one case, conversion to conventional laparoscopy was required. No intra- or postoperative complications were reported.
Laparoscopic surgery for ectopic pregnancy by single access seems feasible with SILS(®) system. Further study including larger number of patients and operators were necessary to confirm risks and advantages of this technique.
评估使用SILS（®）系统单孔腹腔镜入路治疗异位妊娠的手术可行性。
2009年7月1日至2010年12月1日，我们在单一妇科科室开展了一项开放性研究。所有手术均由三名手术医生完成。评估的手术操作包括输卵管切除术、输卵管切开术、输卵管切除术。报告了手术的可行性、术中及术后数据。
我们使用SILS（®）系统成功完成了32例手术中的31例（97%）（27例输卵管切除术和5例输卵管切开术）。有1例需要转为传统腹腔镜手术。未报告术中或术后并发症。
使用SILS（®）系统单孔腹腔镜入路治疗异位妊娠似乎可行。需要开展包括更多患者和手术医生的进一步研究，以确认该技术的风险和优势。
