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首页> 外文期刊>Surgical Endoscopy >Single-port laparoscopic surgery is applicable to most gynecologic surgery: a single surgeon's experience.
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Single-port laparoscopic surgery is applicable to most gynecologic surgery: a single surgeon's experience.

机译：单端口腹腔镜手术适用于大多数妇科手术：一位外科医生的经验。

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The aim of this study was to evaluate the use of single-port laparoscopic surgery in benign gynecologic diseases and to examine its impact on surgical outcomes.The medical records of 500 consecutive patients who underwent laparotomy or laparoscopic surgery performed by a single surgeon for benign disease from August 2008 to October 2010 were retrospectively reviewed.The surgeries included hysterectomy (n = 239), adnexectomy (n = 212), and myomectomy (n = 51). The indications for surgery included adnexal lesions (48.1%), uterine fibroids (37.8%), preinvasive cervical disease (7.5%), and endometrial pathology (6.6%). Twenty-nine percent of the first 100 cases were single-port laparoscopic surgeries. The percentages increased in the second (62%), third (72%), fourth (71%), and last (86%) 100 cases. The percentages of laparotomy and multiport laparoscopy were 23% and 48%, respectively, in the first 100 cases; however, in the last 100 cases, the percentages dropped to 4% and 10%, respectively. A significant reduction in estimated blood loss and length of hospital stay was observed for all diseases. No differences were identified in the median operative time or complication rate over the study period.Single-port laparoscopic surgery can be applied to most benign gynecologic surgery without detrimental effects on clinical outcomes.
机译：这项研究的目的是评估单口腹腔镜手术在良性妇科疾病中的应用，并检查其对手术结果的影响.500名由一名外科医生对一名良性疾病进行剖腹手术或腹腔镜手术的连续患者的医疗记录回顾性分析2008年8月至2010年10月的手术，包括子宫切除术（n = 239），附件切除术（n = 212）和子宫肌瘤切除术（n = 51）。手术适应证包括附件病变（48.1％），子宫肌瘤（37.8％），浸润性宫颈疾病（7.5％）和子宫内膜病理（6.6％）。前100例病例中有29％是单端口腹腔镜手术。在第二（100％）例中，第二（62％），第三（72％），第四（71％）和最后（86％）的百分比增加。前100例中，剖腹手术和多腔腹腔镜检查的百分比分别为23％和48％;但是，在最近的100个案例中，该百分比分别下降到4％和10％。观察到所有疾病的估计失血量和住院时间显着减少。在研究期间，中位手术时间或并发症发生率没有差异。单端口腹腔镜手术可用于大多数良性妇科手术，而对临床结果无不利影响。

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