单孔腹腔镜手术治疗巨大附件肿块:病例系列

Gonca Türker Ergün, T. Arslanca, Polat Dursun
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摘要

目的:附件包块是妇科门诊中最常见的手术适应症之一,腹腔镜被公认为治疗附件包块的金标准。材料与方法:单切口腹腔镜手术(SILS)是微创手术时代不断发展的内镜方法。最近有报道称,附件包块也可通过 SILS 手术进行治疗。在本报告中,我们介绍了通过单孔腹腔镜方法对 3 例有症状的巨大附件肿块患者进行手术的情况。手术结果手术平均持续时间为 95 分钟(75-135 分钟不等)。没有一名患者转为开腹手术。所有患者均在术后第 1 天出院。没有一名患者需要再次入院。术后所有患者都对切口和美容效果表示满意。结论通过 SILS PortTM,单孔腹腔镜手术可以成功地治疗巨大附件肿块患者,并获得更好的美容效果。
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Huge Adnexal Masses Managed by Single Port Laparoscopy: A case series
Aim: Adnexal mass is one of the most common surgical indications in gynecology clinics, and laparoscopy is generally accepted as a gold standard in the management of adnexal mass. Materials and Method: Single incision laparoscopic surgery (SILS) is an evolving endoscopic approach in the era of minimal access surgery. Recently, it has been reported that adnexal mass may also be managed by SILS. In this report, we present 3 symptomatic patients with a huge adnexal mass operated by a single port laparoscopic approach. Results: The mean duration of the operations 95 minutes (range 75-135 minutes). None of the patients converted to laparotomy. All patients discharged on postoperative day 1. None of the patients required readmission to the hospital. Postoperatively all patients were satisfied with their incision and cosmetic results. Conclusion: Single port laparoscopic management can be successfully completed via SILS PortTM in patients with large adnexal masses with better cosmetic outcomes.
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