Department of Gynecology and Obstetrics, La Conception Hospital, 147 boulevard Baille, 13005 Marseille, France.
Eur J Obstet Gynecol Reprod Biol. 2012 May;162(1):67-70. doi: 10.1016/j.ejogrb.2012.01.006. Epub 2012 Feb 3.
To evaluate the feasibility in everyday practice and the advantages of salpingectomy for ectopic pregnancy by single-incision laparoscopic surgery with the SILS system.
This single-center prospective observational study included 37 women requiring salpingectomy for ectopic pregnancy who underwent single-incision laparoscopic salpingectomy with the SILS system. Information about feasibility and intra- and post-operative data were collected. The data for these patients were compared with those of a control group of 40 women treated by standard laparoscopy.
Thirty-six (97%) patients were treated successfully with the SILS system. After laparoscopic confirmation of the ectopic pregnancy, salpingectomy was performed with bipolar forceps and scissors. In one case, conversion to classic laparoscopy was performed because SILS was not feasible. Compared with the control group, operative time was longer (50 ± 35 vs 35 ± 30 min, p=0.001) but duration of hospitalization shorter with single-site laparoscopy (1.5 ± 1.5 vs 2.3 ± 1.5 days, p=0.02).
Laparoscopic salpingectomy for ectopic pregnancy appears to be feasible in everyday practice by single-incision laparoscopic surgery with the SILS system and appears to reduce the duration of hospitalization. Larger series are necessary to confirm this conclusion.
评估 SILS 系统下经单孔腹腔镜手术行输卵管切除术治疗宫外孕的临床实际可行性及其优势。
本单中心前瞻性观察研究纳入了 37 例行输卵管切除术治疗宫外孕的患者，所有患者均采用 SILS 系统行经单孔腹腔镜输卵管切除术。收集相关可行性及围手术期数据。将这些患者的数据与采用标准腹腔镜治疗的 40 例患者的对照组数据进行比较。
36 例（97%）患者成功采用 SILS 系统进行治疗。腹腔镜确认宫外孕后，采用双极电凝镊和剪刀进行输卵管切除术。有 1 例因 SILS 不可行而改行经典腹腔镜手术。与对照组相比，单孔腹腔镜组的手术时间更长（50±35 分钟 vs 35±30 分钟，p=0.001），但住院时间更短（1.5±1.5 天 vs 2.3±1.5 天，p=0.02）。
SILS 系统下经单孔腹腔镜手术治疗宫外孕在临床实际中具有可行性，且似乎可以缩短住院时间。需要更大的系列研究来证实这一结论。
