Yi Sang Wook
Department of Obstetrics and Gynecology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Republic of Korea.
Ginekol Pol. 2023;94(8):587-592. doi: 10.5603/GP.a2022.0041. Epub 2022 Jul 27.
Due to the development of laparoscopy techniques, single-site incision laparoscopic surgery (SILS) has recently been performed at many institutes using only a single-incision transumbilical port. We aimed to carry out a learning curve analysis for SILS for adnexal surgery and validate the short-term surgical outcomes.
In total, 214 patients were enrolled in this study. The medical records of patients who underwent SILS for adnexal surgery by an expert surgeon from October 2008 to September 2018 were reviewed and analyzed.
The mean age and parity were 33.9 ± 11.5 years and 1.0 ± 1.1, respectively. The mean operation duration was 77.5 ± 22.3 min. In the analysis of the learning curve for single-site incision laparoscopic adnexal surgery, surgical proficiency was defined as the point at which the slope of the learning curve became less steep, which was evident after the 24th operation. No operative complications, conversions to laparotomy or additional trocar insertions were observed.
Single-site incision laparoscopic surgery (SILS) for adnexal surgery is a safe technique and does not increase the risk of peri- or postoperative complications. For safe performance of SILS, a certain training period for learning the technique should be required.
由于腹腔镜技术的发展，近年来许多机构已开展单切口腹腔镜手术（SILS），仅通过单一切口经脐端口进行操作。我们旨在对附件手术的SILS进行学习曲线分析，并验证其短期手术效果。
本研究共纳入214例患者。回顾并分析了2008年10月至2018年9月期间由一名专家外科医生为附件手术实施SILS的患者的病历。
平均年龄和产次分别为33.9±11.5岁和1.0±1.1。平均手术时长为77.5±22.3分钟。在单切口腹腔镜附件手术的学习曲线分析中，手术熟练程度定义为学习曲线斜率变缓的点，这在第24例手术后变得明显。未观察到手术并发症、转为开腹手术或额外穿刺孔置入的情况。
附件手术的单切口腹腔镜手术（SILS）是一种安全的技术，不会增加围手术期或术后并发症的风险。为安全实施SILS，需要一定的技术学习培训期。
