摘要
妊娠期约有1/500的孕妇需接受非产科因素的腹部手术。以前,妊娠期间更倾向于开放手术。随着腹腔镜设备的发展和手术技术的进步,腹腔镜作为一种安全、微创的方法被推荐用于妊娠期腹部手术。单孔腹腔镜手术(laparoendoscopic single-site surgery,LESS)是一种通过单切口进行的微创手术技术,已广泛应用于包括妇科在内的许多领域。妊娠期间,LESS比多孔腹腔镜有几个优点,如切口小、美容效果好、术后疼痛少、恢复快等。几项研究已证实了妊娠期LESS手术的安全性和可行性。妊娠期急腹症、潜在恶性或恶性附件肿物、持续良性附件肿物并有增大趋势的患者需要手术治疗,建议在妊娠中期进行手术。通过38例妊娠期LESS治疗附件包块的手术,本团队总结了妊娠期LESS的手术技巧及注意事项等。总之,妊娠期由经验丰富的医师实施LESS似乎是一种安全可行的方法。
Non-obstetrical abdominal surgery is required in approximately 1 in 500 pregnant women.Previously,open surgery was preferred during pregnancy.With the development of laparoscopic devices and improved surgical techniques,laparoscopy has been recommended as a safe,minimally invasive approach for abdominal surgery throughout pregnancy.Laparoendoscopic single-site surgery(LESS)is a minimally invasive surgical technique via a single incision,which has been widely used in many fields including gynecologic surgery.Several advantages of LESS over multiport laparoscopy during pregnancy have been indicated,such as the advantages of less incision,good cosmetic effect,less postoperative pain and quick recovery.Several studies have confirmed the safety and feasibility of LESS surgery in pregnancy.Patients with acute abdomen during pregnancy,potentially malignant or malignant adnexal masses,and persistent benign adnexal masses with a tendency to increase in size require surgical treatment,non-emergency surgery is recommended for the second trimester of pregnancy.Based on 38 pregnant women with adnexal masses who underwent LESS surgery,our team summarize the operative skills and precautions of monopole laparoscopy during pregnancy.In conclusion,LESS administered by an experienced physician during pregnancy seems to be a safe and feasible approach.
作者
徐敬云
丁波
蒋宇慧
沈杨
Xu Jingyun;Ding Bo;Jiang Yuhui;Shen Yang(Department of Gynecology,Zhongda Hospital Affiliated to Southeast University,Jiangsu 210009,China;Southeast University School of Medicine,Jiangsu 210009,China)
出处
《中华腔镜外科杂志(电子版)》
2024年第5期262-266,共5页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
单孔腹腔镜手术
妊娠期
附件包块
Laparoendoscopic single-site surgery
Pregnancy
Adnexal masses
