单孔腹腔镜在卵巢肿瘤剥除术中的应用效果

Effectiveness of Laparoendoscopic Single Site Surgery in Ovarian Tumor Removal

摘要: 目的：分析单孔腹腔镜在卵巢良性肿瘤剥除术中的应用效果。方法：选取56例患者，按照患者意愿分为LESS组33例，CLS组23例，比较两组患者手术相关指标情况。结果：两组手术均顺利完成，无额外增加辅助孔或中转开腹。LESS组术中出血量低于CLS组，LESS组术后住院天数短于CLS组，差异有统计学意义(P < 0.05)。两组手术时间、术后首次排气时间、术后首次排便时间、助排气药物的应用及住院总花费比较，差异均无统计学意义(P > 0.05)。LESS组术后24 h肩部VAS疼痛评分高于CLS组，差异有统计学意义(P < 0.05)。两组术后12 h VAS疼痛评分、24 h腹部VAS疼痛评分、48 h VAS疼痛评分、止痛泵及止痛药的应用率、并发症比较，差异均无统计学意义(P > 0.05)。结论：单孔腹腔镜在卵巢良性肿瘤剥除术中具有可行性。

Abstract: Objective: To analyze the effect of single-port laparoscopy in ovarian benign tumor removal. Methods: 56 patients were selected and divided into 33 cases in the LESS group and 23 cases in the CLS group according to the patients’ wishes, and the operation-related indexes of the two groups were compared. Results: Without additional adjuvant orifice or intermediate opening, the surgery was completed successfully in both groups. Intraoperative bleeding was lower in the LESS group than in the CLS group, and the postoperative hospitalization days were shorter in the LESS group than in the CLS group, with statistically significant differences (P < 0.05). The differences were not statistically significant (P > 0.05) between the two groups in terms of operative time, time to first postoperative defecation, time to first postoperative bowel movement, application of venting aid and total hospitalization cost. 24 h postoperative shoulder VAS pain score was higher in the LESS group than in the CLS group, and the difference was statistically significant (P < 0.05). There was no statistically significant difference in the 12 h postoperative VAS pain score, 24 h abdominal VAS pain score, 48 h VAS pain score, application rate of pain pump and analgesic, and complications between the two groups (P > 0.05). Conclusion: Single-port laparoscopy is feasible in ovarian benign tumor debulking.