作者单位：528000 佛山，广东省佛山市妇幼保健院

    经脐单孔腹腔镜手术治疗卵巢良性肿瘤的研究

    黄晓斌柳晓春郑玉华

    【摘要】目的探讨经脐单孔腹腔镜卵巢良性肿瘤剥除术的可行性。方法选择行经脐单孔腹腔镜卵巢良性肿瘤剥除术患者32例(A组)，及同期行传统腹腔镜卵巢良性肿瘤剥除术患者45例(B组)，肿瘤最大径线均≤6 cm。对2组患者的临床资料进行比较分析。结果2组均顺利完成手术。B组手术时间短于A组(45.09±9.65 min vs.56.75±11.31 min ，t=-4.862，P0.05)。结论尽管经脐单孔腹腔镜卵巢囊肿剥除术具备隐藏瘢痕、美容、微创的优点，但其操作难度明显增加，目前尚难广泛应用。

    【关键词】经脐单孔腹腔镜；腹腔镜；卵巢良性肿瘤

    DOI:10.3969/g.issn.0253-9802.2015.07.015

    通讯作者，郑玉华，E-mail：zyh2013916@163.com

    Abstract【】ObjectiveTo investigate the feasibility of transumbilical laparoendoscopic single-site surgery (LESS) in a cystectomy for benign ovarian tumors. MethodsThis study included 32 patients with benign ovarian tumors who underwent a cystectomy via transumbilical LESS (Group A) and 45 patients who were treated with a conventional laparoscopic oophorocystectomy for benign ovarian tumors (Group B). The maximum diameters of the tumors were 6 cm or less. The clinical data of the patients in these two groups were compared for analysis. ResultsThe operations were successful for all patients in both groups. The operative time in Group A was longer than that in Group B (56.75±11.31 min vs. 45.09±9.65 min, t=4.862, P0.05). ConclusionsDespite its advantages of scar concealment, cosmetic benefits, and minimally invasive nature, transumbilical LESS has not been widely used in cystectomies due to the increased difficulty of the procedure. ......