经脐单孔腹腔镜在卵巢巨大囊肿切除手术中的应用优势  

Advantages of Transumbilical Single-Port Laparoscopy in Surgery for Huge Ovarian Cysts

作　　者：石宇 刘红 张国楠 王登凤 史洵玮 余健 Shi Yu;Liu Hong;Zhang Guonan;Wang Dengfeng;Shi Xunwei;Yu Jian(Contributed equally Departments of Gynecological Oncology,Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,School of Medicine,University of Electronic Science and Technology of China,Chengdu 610041,Sichuan,China)

机构地区：[1]四川省肿瘤医院·研究所,四川省癌症防治中心,电子科技大学医学院妇科肿瘤中心,成都610041

出　　处：《肿瘤预防与治疗》2020年第10期885-891,共7页Journal of Cancer Control And Treatment

基　　金：四川省医学重点学科建设项目(编号:川卫办发[2007]407号)。

摘　　要：目的:探讨应用经脐单孔腹腔镜行囊肿剔除术治疗卵巢巨大囊肿的安全性及可行性。方法:回顾性分析2018年1月至2020年7月在我院行经脐单孔腹腔镜卵巢巨大囊肿(直径≥10 cm)手术的病例20例。总结分析患者手术时间、术中出血量、术中囊液外漏率、术后疼痛评分、术后首次肛门排气时间、术后并发症发生率、术后住院时间、术后满意度等临床指标。结果:20例患者的中位手术时间为125 min(40~195 min,包括术中等待冰冻病理时间),中位术中出血量30 mL(10~50 mL)。术后连续5次NRS疼痛评分中位均值2.0(1.6~2.6)。术后中位首次肛门排气时间43 h(5~67 h),术后中位住院时间3.5 d(2~5 d)。20例患者均未发生感染、肠梗阻、器官损伤等手术相关并发症,无1例发生囊液外漏。患者对切口的总体满意度高,非常满意率占85%。结论:在严格选择病例的前提条件下,单孔腹腔镜治疗卵巢巨大囊肿能缩短手术时间,减轻患者术后疼痛,促进肠道功能迅速恢复,住院时间短,术后并发症少,囊液外漏率低,患者对切口的总体满意率高,是安全有效的。Objective:To investigate the safety and feasibility of transumbilical single-port laparoscopic cystectomy in the treatment of huge ovarian cyst.Methods:From January 2018 to July 2020,20 patients with huge ovarian cyst(diameter≥10 cm)underwent transumbilical single port laparoscopic surgery in our hospital.The operation time,intraoperative blood loss,rate of intraoperative cyst fluidleakage,postoperative pain score,postoperative first anal exhaust time,incidence of postoperative complications,postoperative hospital stay,postoperative satisfaction and other clinical parameters were summarized and analyzed.Results:The median operation time of 20 patients was 125 minutes(40-195 minutes,including waiting time for frozen pathology),and the median intraoperative blood loss was 30 mL(10-50 mL).The median value of NRS score was 2.0(1.6-2.6).The median postoperative exhaust time was 43 hours(5-67 hours),and the median hospital stay was 3.5 days(2-5 days).Complications such as infection,intestinal obstruction and organ injury did not occur.And nocyst fluid leakage was observed.The overall satisfaction rate of patientswas 85%.Conclusion:With the premise of strict selection of cases,single-port laparoscopic treatment of huge ovarian cyst,which is safe and effective,can shorten the operation time,reduce postoperative pain,promoterecovery of intestinal function,with short hospital stay,fewer postoperative complications,lowcyst fluidleakage,and high satisfaction.

关 键 词：经脐单孔腹腔镜 卵巢囊肿 手术 

分 类 号：R737.31[医药卫生—肿瘤] R730.56[医药卫生—临床医学]