Department of Minimal Invasive Gynecology, Guangzhou Women and Children's Hospital, Guangzhou Medical University, Guangzhou, China.
Biomed Res Int. 2020 Jan 20;2020:5373927. doi: 10.1155/2020/5373927. eCollection 2020.
To demonstrate various benign gynecologic diseases that can be performed by laparoendoscopic single-site surgery (LESS) with conventional laparoscopic instruments.
Patients with benign gynecologic diseases that need ovarian cystectomy, fallopian tube resection, or myomectomy were divided into experimental group and control group, and perioperative outcomes of these patients were analyzed.
From November 2017 to May 2018, 65 LESS gynecological surgeries were performed, among which there were 25 ovarian cystectomies, 28 unilateral fallopian tube resections, and 12 myomectomies. All the surgeries were completed smoothly, and only one surgery needed one more additional port. No patients have severe complications. Operative time, intraoperative blood loss, and perioperative complications have no difference between the two groups. The LESS laparoscopy group had less postoperative pain scores and longer bowel recovering time, compared with the conventional laparoscopy group (<0.05).
Compared with traditional laparoscopy, LESS surgery with conventional laparoscopic instruments is feasible and safe, but postoperative exhaust time is longer than the control group.
展示使用传统腹腔镜器械进行的经脐单孔腹腔镜手术（LESS）治疗各种良性妇科疾病的方法。
将需要卵巢囊肿切除术、输卵管切除术或子宫肌瘤切除术的良性妇科疾病患者分为实验组和对照组，分析这些患者的围手术期结果。
2017 年 11 月至 2018 年 5 月，共完成 65 例 LESS 妇科手术，其中卵巢囊肿切除术 25 例，单侧输卵管切除术 28 例，子宫肌瘤切除术 12 例。所有手术均顺利完成，仅 1 例手术需要增加 1 个附加端口。无患者发生严重并发症。两组患者的手术时间、术中出血量和围手术期并发症无差异。与传统腹腔镜组相比，LESS 腹腔镜组术后疼痛评分较低，肠道恢复时间较长（<0.05）。
与传统腹腔镜相比，使用传统腹腔镜器械进行 LESS 手术是可行且安全的，但术后排气时间长于对照组。
