[妇科肿瘤手术单孔操作的可行性研究]
[Feasibility study about the single-port in gynecologic oncology surgery].
作者信息
Heinemann M, Cannone F, Lambaudie E, Michel V, Buttarelli M, Bannier M, Houvenaghel G
机构信息
Service de chirurgie oncologique 2, institut Paoli-Calmettes, 232, boulevard Sainte-Marguerite, Marseille, France.
出版信息
J Gynecol Obstet Biol Reprod (Paris). 2012 Sep;41(5):427-38. doi: 10.1016/j.jgyn.2012.04.009. Epub 2012 May 25.
OBJECTIVES
To describe our single-port experience in gynecologic oncology surgery, and emphasize the feasibility to use the single-port in this surgery.
PATIENTS AND METHODS
It is a retrospective, feasibility study, monocentric. All patients who were operated by the single-port, between 1st January 2010 to 1st November 2011, were included.
RESULTS
We note that 107 patients were included. We made different interventions: uni- and bilateral salpingo-ovariectomy, hysterectomy, pelvic and para-aortic lymph node sampling or lymphadenectomy in gynecologic malignancies. The median age of the population and the body mass index were respectively 52 and 22.6 kg/m(2). In total, six interventions will be converted. The median hospital stay of patients, all procedures combined, was 2 days. We find low rate of postoperative complications.
CONCLUSION
Gynecological cancer surgery appears feasible for single-port. However, we need other studies to confirm a benefit of using the single-port compared to conventional laparoscopy.
目的
描述我们在妇科肿瘤手术中的单孔操作经验，并强调在该手术中使用单孔的可行性。
患者与方法
这是一项回顾性、单中心的可行性研究。纳入了2010年1月1日至2011年11月1日期间接受单孔手术的所有患者。
结果
我们纳入了107例患者。我们进行了不同的手术：单侧和双侧输卵管卵巢切除术、子宫切除术、妇科恶性肿瘤的盆腔及腹主动脉旁淋巴结取样或淋巴结清扫术。患者的中位年龄和体重指数分别为52岁和22.6kg/m²。总共6例手术中转开腹。所有手术合并计算，患者的中位住院时间为2天。我们发现术后并发症发生率较低。
结论
妇科癌症手术采用单孔操作似乎可行。然而，我们需要其他研究来证实与传统腹腔镜手术相比，使用单孔操作的益处。
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