Ichikawa Masao, Ono Shuichi, Mine Katsuya, Akira Shigeo
Department of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.
Asian J Endosc Surg. 2013 Aug;6(3):151-7. doi: 10.1111/ases.12041. Epub 2013 Jun 7.
The recent emergence of laparoendoscopic single-site surgery (LESS) has had a great impact on gynecology. As LESS grows in popularity, attention has been paid to the procedure's cosmetic benefits. Although in theory LESS is an ideal approach that leaves no visible scars and improves patients' quality of life, the outcomes are not always ideal according to recently published data. Therefore, alternative approaches, such as mini-laparoscopy, are also becoming more popular. Herein, we review randomized trials studying the benefits of LESS in gynecology and discuss alternative approaches. Finally, we propose the mimic approach as the next generation for non-visible scar surgery.
腹腔镜单孔手术（LESS）的近期出现对妇科产生了重大影响。随着LESS越来越受欢迎，人们开始关注该手术在美容方面的益处。虽然理论上LESS是一种理想的方法，不会留下可见疤痕并能提高患者的生活质量，但根据最近公布的数据，其结果并不总是理想的。因此，诸如微型腹腔镜检查等替代方法也越来越受欢迎。在此，我们回顾了研究LESS在妇科中的益处的随机试验，并讨论了替代方法。最后，我们提出模拟手术方法作为下一代不可见疤痕手术。
