手辅助经脐单孔腹腔镜保留生育功能的卵巢恶性肿瘤手术的临床效果  被引量:7

Study on the clinical effect of hand-assisted transumbilical laparoendoscopic single-site surgery for ovarian malignant tumor with fertility preservation function

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作  者:吕净上[1] 付秀虹[1] 梁金玉 杜鹤翔 LYU Jingshang;FU Xiuhong;LIANG Jinyu;DU Hexiang(The First Affiliated Hospital of Luohe Medical College of Henan Province(Luohe Central Hospital),Henan Luohe 462000,China)

机构地区:[1]河南省漯河医学高等专科学校第一附属医院(漯河市中心医院),河南漯河462000

出  处:《现代肿瘤医学》2022年第12期2224-2228,共5页Journal of Modern Oncology

摘  要:目的:探讨手辅助经脐单孔腹腔镜保留生育功能的卵巢恶性肿瘤手术的安全性、实用性以及其与多孔腹腔镜和开腹手术的临床效果差异。方法:收集2013年3月至2019年10月在我院妇科住院行保留生育功能的卵巢恶性肿瘤手术的39例患者的住院病历资料,根据手术方式分为三组:A组:开腹手术组;B组:多孔腹腔镜手术组;C组:手辅助经脐单孔腹腔镜手术组。比较C组与另外两组的手术时间、手术出血量、肛门排气时间、术后病率、术后恢复时间,评价手辅助单孔腹腔镜手术的临床效果。结果:C组的手术时间、手术出血量、肛门排气时间、术后病率、术后恢复时间均少于A组,差异有统计学意义(P<0.05)。C组的手术时间少于B组,差异具有统计学意义(P<0.05);C组的其它观察指标与B组差异无统计学意义(P>0.05)。结论:手辅助经脐单孔腹腔镜与多孔腹腔镜同样具有微创、术后恢复快等优势,同时,其拥有的大孔径入口可牵拉出大网膜进行切除,较开腹和镜下切除大网膜更加快速、便利、可靠,在只需要切除附件及大网膜的保留生育功能的卵巢恶性肿瘤手术中具有明显优势。Objective:To investigate the safety,practicability and clinical effect of hand-assisted transumbilical laparoendoscopic single-site surgery for ovarian malignant tumor.Methods:Medical records of 39 patients admitted to our hospital from March 2013 to October 2019 who underwent surgery for ovarian malignant tumor with fertility preservation were collected.The patients were divided into three groups according to the operation methods,including group A(open surgery group),group B(porous laparoscopic surgery group),group C(hand assisted transumbilical laparoendoscopic single-site surgery group).The operative time,operative blood loss,anal exhaust time,postoperative morbidity and postoperative recovery time of the three groups were compared to evaluate the clinical effect of hand-assisted transumbilical laparoendoscopic single-site surgery.Results:The operative time,operative blood loss,anal exhaust time,postoperative morbidity and postoperative recovery time of group C were all lower than that of group A,with statistically significant differences(P<0.05).The operation time in group C was less than that in group B,with statistically significant difference(P<0.05).There was no significant difference between group C and group B in other observation indexes(P>0.05).Conclusion:Hand-assisted transumbilical laparoendoscopic single-site surgery and abdominal multi-hole endoscopy also have the advantages of minimally invasive,rapid postoperative recovery and so on.at the same time,it has a large aperture entrance to pull out of the greater omentum resection,more open and microscopically removal of the greater omentum is more rapid,convenient and reliable.The only need to remove accessories and greater omentum to retain reproductive function of ovarian malignant tumor surgery has obvious advantages.

关 键 词:经脐单孔腹腔镜 卵巢恶性肿瘤 临床效果 

分 类 号:R737.31[医药卫生—肿瘤]

 

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