单孔腹腔镜(SPL)与常规腹腔镜(CL)治疗妊娠期间良性附件肿块的比较研究

A. Elmaasrawy, A. Alnemr, M. Elfeky, O. Harb, A. Abdel-Razik
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引用次数: 0

摘要

背景。单孔腹腔镜手术(SPL)是在传统腹腔镜手术(CL)的基础上发展起来的一项新技术。对于妊娠期间发现的附件肿块,SPL手术切除的作用和益处没有进行充分的评估。本研究的目的是比较SPL和CL手术治疗妊娠期良性附件肿块的利弊和手术结果。患者和方法。这项回顾性队列研究包括100名在怀孕期间接受腹腔镜附件手术的患者。我们将纳入的患者分为两组,第一组50例,采用单孔腹腔镜手术(SPL),第二组50例,采用常规腹腔镜手术(CL)。结果。两组患者在疤痕美容满意度方面差异有统计学意义(p=<0.001)。SPL组患者手术时间长于CL组患者,差异有统计学意义(p<0.001)。结论。我们发现SPL被认为是一种可行和安全的方法,用于腹腔镜下切除妊娠期间的附件肿块。
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Single-port laparoscopy (SPL) versus conventional laparoscopy (CL) for management of benign adnexal masses during pregnancy: a comparative study
Background. Single-port laparoscopic surgery (SPL) is a newly developed surgical technique which was evolved from conventional laparoscopic surgery (CL) . Sufficient evaluation of roles and benefits of SPL surgery for excision of adnexal masses discovered during pregnancy was not done. Aim of the study was to compare between SPL and CL surgeries in management of benign adnexal masses during pregnancy regarding benefits, advantages, disadvantages and operative outcomes. Patients and methods. this retrospective cohort study included 100 patients who underwent laparoscopic adnexal surgeries during pregnancy. We divided included patients into 2 groups the first group included 50 and underwent Single-port laparoscopic surgery (SPL) and the second group included 50 patients and underwent conventional laparoscopic surgery (CL). Results. There was a statistically significant difference between both groups of patients as regard cosmetic scar satisfaction which was more in the SPL group (p=<0.001). Operative time was longer in the SPL group of patients than in the CL group of patients with statistically significant differences (p<0.001). Conclusions. We showed that SPL was considered a feasible and safe approach for laparoscopic excision of adnexal masses during pregnancy.
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来源期刊
Italian Journal of Gynaecology and Obstetrics
Italian Journal of Gynaecology and Obstetrics Medicine-Obstetrics and Gynecology
CiteScore
1.60
自引率
0.00%
发文量
88
期刊介绍: Presentazione: E’ l’organo ufficiale della Società Italiana di Ginecologia e Ostetricia. Con cadenza trimestrale pubblica articoli originali su temi di anatomia, istologia, fisiologia, patologia, genetica e virologia dell’apparato genitale femminile. Propone, inoltre, casi clinici riguardanti valutazioni di tecniche chirurgiche e trattamenti terapeutici; editoriali e review; il punto di vista di eminenti autori su particolari tematiche sotto l’aspetto etico e clinico.
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