单孔腹腔镜手术在妇科手术中的应用现状

任常; 孙大为

doi:10.19538/j.fk2025070102

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中国实用妇科与产科杂志 ›› 2025, Vol. 41 ›› Issue (7) : 679-683. DOI: 10.19538/j.fk2025070102

专题笔谈

单孔腹腔镜手术在妇科手术中的应用现状

任常 ,
孙大为

作者信息 +

Application of laparoendoscopic single-site surgery in gynecological surgery.

REN Chang ,
SUN Da-wei

Author information +

文章历史 +

摘要

单孔腹腔镜手术（LESS）通过单一入路实现微创操作，在妇科领域具有美容效果佳、术后恢复快及生育力保护潜力等优势。研究证实，LESS在卵巢囊肿、子宫肌瘤及子宫颈癌手术中的安全性与传统腹腔镜相当，且住院时间更短。其适应证涵盖附件手术、子宫切除术、早期恶性肿瘤及盆底重建等。预弯器械和机器人辅助技术（R-LESS）进一步克服“筷子效应”与操作限制。未来需通过器械创新、指南规范及远程技术推广，拓展LESS在复杂妇科疾病中的应用。

Abstract

Laparoendoscopic single-site surgery （LESS），which achieves minimally invasive effect through a single access port ，demonstrates significant advantages in gynecology，including better cosmesis，rapid recovery，and potential fertility preservation. Studies confirm that LESS exhibits comparable safety to conventional laparoscopy in ovarian cystectomy，myomectomy，and cervical cancer surgery，with shorter hospital stay. Its indications include adnexal surgery，hysterectomy，early-stage malignancies，and pelvic floor reconstruction.Pre-bent instruments and robot-assisted techniques （R-LESS）further address the "chopstick effect" and the limited maneuverability. Future advancements in instrument innovation，guideline standardization，and remote surgical technology will expand LESS applications in complex gynecological diseases.

导出引用

任常, 孙大为. 单孔腹腔镜手术在妇科手术中的应用现状[J]. 中国实用妇科与产科杂志. 2025, 41(7): 679-683 https://doi.org/10.19538/j.fk2025070102

REN Chang, SUN Da-wei. Application of laparoendoscopic single-site surgery in gynecological surgery.[J]. Chinese Journal of Practical Gynecology and Obstetrics. 2025, 41(7): 679-683 https://doi.org/10.19538/j.fk2025070102

中图分类号： R713.1

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