经脐单孔腹腔镜技术在子宫内膜癌手术中的应用  

After umbilical single-arch laparoscopic technology application in endometriacl ancersurgery

作　　者：刘洪云 李翠 张海堂 张玉英 黄成香 Liu Hongyun;Li Cui;Zhang Haitang;Zhang Yuying;Huang Chengxiang(Department of gynaecology,Linyi Central Hospital,Shandong 276400,China)

机构地区：[1]临沂市中心医院妇科,山东276400

出　　处：《中华腔镜外科杂志（电子版）》2024年第3期182-184,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨经脐单孔腹腔镜技术在子宫内膜癌手术中的应用。方法回顾性分析2023年4月在临沂市中心医院妇科确诊收治的子宫内膜癌患者1例,接受单孔腹腔镜下子宫内膜癌分期手术的临床资料,总结手术操作要点,探讨其可行性。结果术中采用缝线悬吊侧脐韧带至前腹壁暴露闭孔窝、缝线悬吊膀胱至前腹壁暴露阴道残端,术中利用牵右切左、牵左切右,并加大操作点间的距离,使得器械间形成比较大的交叉,减少器械间的碰撞,术中经阴道置入T型管引流,手术过程顺利,手术时间124 min,出血约20 ml,术后2 d停盆腔引流管,术后4 d患者出院,无并发症发生,美容满意度高。结论经脐单孔腹腔镜下子宫内膜癌分期手术是安全可行的,且恢复快、住院时间短、切口美容度高,值得临床推广。Objective To investigate the application of transumbilical single-port laparoscopy in endometrial cancer surgery.Methods The clinical data of a patient with endometrial cancer diagnosed in gynecology in Linyi Central Hospital in Apr.2023 underwent transumbilical single-port laparoscopic staging surgery were retrospectively analyzed,summarize the key points of the operations and explore the feasibility.Results Using a suture to suspend the lateral umbilical ligament to the anterior abdominal wall to expose the obturator fossa,and suture to suspend the bladder to the anterior abdominal wall to expose the vaginal stump.Using the method of pulling the right side to handle the left side,pulling the left side to handle the right side,and increasing the distance between operating points to form a relatively large intersection between instruments and reduce collisions between instruments.Placement of transvaginal T-tube drainage in the pelvic cavity.The surgery proceeded smoothly,taking 124 minutes,intraoperative bleeding about 20 ml,the pelvic drainage tube was removed 2 days after surgery,and the patient was discharged 4 days after surgery,no complications occurred.The pelvic drain was stopped on the second day after the operation,and the patient was discharged on the fourth day after the operation with high cosmetic satisfaction.Conclusion Transumbilical single-port laparoscopy staging surgery for endometrial cancer is safe and feasible,and has fast recovery,short hospital time,and a high cosmetic degree,which is worthy of clinical promotion.

关 键 词：经脐单孔腹腔镜 子宫内膜癌 分期手术 

分 类 号：R737.33[医药卫生—肿瘤]