单孔腹腔镜技术在卵巢相关肿瘤中的应用及展望

杨清; 张宁宁

doi:10.19538/j.fk2025070105

PDF(892 KB)

中国实用妇科与产科杂志 ›› 2025, Vol. 41 ›› Issue (7) : 691-695. DOI: 10.19538/j.fk2025070105

专题笔谈

单孔腹腔镜技术在卵巢相关肿瘤中的应用及展望

杨清 ,
张宁宁

作者信息 +

Application and prospect of single-port laparoscopic technique in ovary-related tumors.

Author information +

文章历史 +

摘要

单孔腹腔镜作为近年来妇科微创领域的创新技术，在卵巢相关肿瘤的诊治中展现了显著的临床价值。该技术具有术后疼痛轻、恢复速度快、腹壁切口美观等显著优势，已广泛应用于卵巢良性肿瘤、交界性肿瘤的手术治疗及早期恶性肿瘤的全面分期手术。然而，由于操作难度较大，特别是在复杂病例及晚期恶性卵巢肿瘤的治疗中，单孔腹腔镜手术的安全性和适应性仍存在一定局限。因此，其临床应用的进一步优化和研究仍是未来发展的关键。文章概述了单孔腹腔镜在卵巢相关肿瘤中的应用现状、优势与局限性，分析了单孔腹腔镜在卵巢相关肿瘤处理中的手术技巧，并对其未来发展进行了展望。

Abstract

Laparoendoscopic single-site surgery，an innovative technique in the field of minimally invasive gynecology，has demonstrated significant clinical value in the diagnosis and treatment of ovary-related tumors. This technique，with its advantages of reduced postoperative pain，rapid recovery，and better cosmetic outcomes for the abdominal wall，has been widely applied in the surgical treatment of benign ovarian tumors，borderline ovarian tumors，and the comprehensive staging surgery of early-stage malignant tumors. However，due to its technical complexity，especially in the management of complex cases and advanced-stage ovarian cancer，the safety and adaptability of single-port laparoscopic surgery still have certain limitations. Therefore，further optimization and research of its clinical application remain crucial for its future development. This article provides an overview of the current status，advantages，and limitations of single-port laparoscopic surgery in ovary-related tumors，analyzes the surgical techniques involved，and looks into the prospects of its future development.

导出引用

杨清, 张宁宁. 单孔腹腔镜技术在卵巢相关肿瘤中的应用及展望[J]. 中国实用妇科与产科杂志. 2025, 41(7): 691-695 https://doi.org/10.19538/j.fk2025070105

YANG Qing, ZHANG Ning-ning. Application and prospect of single-port laparoscopic technique in ovary-related tumors.[J]. Chinese Journal of Practical Gynecology and Obstetrics. 2025, 41(7): 691-695 https://doi.org/10.19538/j.fk2025070105

中图分类号： R713.1

参考文献

列表( 原文顺序 | 文献年度倒序 | 文中引用次数倒序 ) 可视化分析

[1]	Ding W, Du X, Cheng L, et al. The "Hand as Foot" teaching method in focusing on the role of gravity in laparoscopic ovarian cystectomy[J]. Asian J Surg, 2023, 46(11):4949-4950. DOI:10.1016/j.asjsur.2023.06.007. 本文引用 [1]

[2]	中国医师协会妇产科医师分会妇科单孔腹腔镜全国科研协作组. 妇科单孔腹腔镜手术镜下联合体外操作模式临床应用专家共识[J]. 中华腔镜外科杂志(电子版), 2023, 16(4):200-209. DOI:10.3877/cma.j.issn.1674-6899.2023.04.002. 本文引用 [1]

[3]	Wheeless CR. Elimination of second incision in laparoscopic sterilization[J]. Obstet Gynecol, 1972, 39(1):134-136. 本文引用 [1]

[4]	Park JY, Kim DY, Suh DS, et al. Laparoendoscopic single-site versus conventional laparoscopic surgery for ovarian mature cystic teratoma[J]. Obstet Gynecol Sci, 2015, 58(4):294-301. DOI:10.5468/ogs.2015.58.4.294. 本文引用 [1]

[5]	成彩云, 马亚慧, 徐晶晶. 单孔腹腔镜手术治疗BMI≥24kg/m²单发卵巢良性肿瘤患者的效果及对术后胃肠功能的影响[J]. 临床医学, 2024, 44(4):33-35. DOI:10.19528/j.issn.1003-3548.2024.04.010. 本文引用 [1]

[6]	Litz C, Danielson PD, Chandler NM. Single incision laparoscopic surgery for pediatric adnexal pathology[J]. J Pediatr Surg, 2014, 49(7):1156-1158. DOI:10.1016/j.jpedsurg.2013.10.017. 本文引用 [1]

[7]	Yin M, Yang J, Zhou H, et al. Laparoendoscopic single-site surgery for adnexal disease during pregnancy:a single-center preliminary experience[J]. Front Surg, 2022, 9:994360. DOI:10.3389/fsurg.2022.994360. 本文引用 [1]

[8]	Lin Y, Liu M, Ye H, et al. Laparoendoscopic single-site surgery compared with conventional laparoscopic surgery for benign ovarian masses:a systematic review and meta-analysis[J]. BMJ Open, 2020, 10(2):e032331. DOI:10.1136/bmjopen-2019-032331. 本文引用 [1]

[9]	Marocco F, Fanfani F, Rossitto C, et al. Laparoendoscopic single-site surgery for fertility-sparing staging of border line ovarian tumors:initial experience[J]. Surg Laparosc Endosc Percutan Tech, 2010, 20(5):e172-e175. DOI:10.1097/SLE.0b013e3181f271ec. 本文引用 [1]

[10]	Song T, Kim MK, Kim ML, et al. Laparoendoscopic single-site surgery for extremely large ovarian cysts:a feasibility,safety,and patient satisfaction study[J]. Gynecol Obstet Invest, 2014, 78(2):81-87. DOI:10.1159/000363237. 本文引用 [1]

[11]	Yoon A, Kim TJ, Lee WS, et al. Single-port access laparoscopic staging operation for a borderline ovarian tumor[J]. J Gynecol Oncol, 2011, 22(2):127-30. DOI:10.3802/jgo.2011.22.2.127. 本文引用 [1]

[12]	洪莉, 刘成. 腹腔镜骶骨固定术保留子宫或子宫颈的利弊[J]. 中国实用妇科与产科杂志, 2023, 39(3):268-272. DOI:10.19538/j.fk2023030104. 本文引用 [1]

[13]	Chen S, Qi X, Chen L, et al. Laparoendoscopic single-site surgery for comprehensive staging of early ovarian cancer[J]. J Minim Invasive Gynecol, 2019, 26(5):806. DOI:10.1016/j.jmig.2018.09.781. 本文引用 [1]

[14]	Lin C, Ying Z, Xiao RQ, et al. LESS with suture suspension for early-stage adnexa cancer staging[J]. Jsls, 2019, 23(3):e2019.00024. DOI:10.4293/JSLS.2019.00024. 本文引用 [1]

[15]	Cho KH, Lee YJ, Eoh KJ, et al. Comparison of single-port laparoscopy and laparotomy in early ovarian cancer surgical staging[J]. Obstet Gynecol Sci, 2021, 64(1):90-98. DOI:10.5468/ogs.20216. 本文引用 [1]

[16]	Bresson L, Allard-Duclercq C, Narducci F, et al. Single-port or classic laparoscopy compared with laparotomy to assess the peritoneal cancer index in primary advanced epithelial ovarian cancer[J]. J Minim Invasive Gynecol, 2016, 23(5):825-832. DOI:10.1016/j.jmig.2016.03.025. 本文引用 [1]

[17]	Quaranta D, Lambaudie E, Heinnemann M, et al. Evaluation of single-port laparoscopy for peritoneal carcinomatosis assessment in advanced ovarian cancer[J]. Eur J Obstet Gynecol Reprod Biol, 2014, 181:60-65. DOI:10.1016/j.ejogrb.2014.07.008. 本文引用 [1]

[18]	任常, 张可欣, 孙大为. 国产机器人在妇科单孔腹腔镜手术中的应用[J]. 中国临床新医学, 2024, 17(6):607-611. 本文引用 [1]

[19]	Scheib SA, Fader AN. Gynecologic robotic laparoendoscopic single-site surgery:prospective analysis of feasibility,safety,and technique[J]. Am J Obstet Gynecol, 2015, 212(2):179.e1-179.e1798. DOI:10.1016/j.ajog.2014.07.057. 本文引用 [1]

[20]	王延洲, 谭文唯. LESS-OPEN理念创新及其在卵巢囊肿剥除中的应用和展望[J]. 陆军军医大学学报, 2024, 46(19):2165-2170. DOI:10.16016/j.2097-0927.202405092. 本文引用 [1]

[21]	龚瑶, 唐均英. 以单孔腹腔镜为例谈妇科手术入路方式的选择[J]. 中国现代手术学杂志, 2020, 24(3):237-240. DOI:10.16260/j.cnki.1009-2188.2020.03.017. 本文引用 [1]

[22]	Hoyuela C, Juvany M, Guillaumes S, et al. Long-term incisional hernia rate after single-incision laparoscopic cholecystectomy is significantly higher than that after standard three-port laparoscopy:a cohort study[J]. Hernia, 2019, 23(6):1205-1213. DOI:10.1007/s10029-019-01969-x. 本文引用 [1]

[23]	Jiang L, Zhao X, Han Y, et al. Giant ovarian cysts treated by single-port laparoscopic surgery:a case series[J]. Front Oncol, 2021, 11:796330. DOI:10.3389/fonc.2021.796330. 本文引用 [1]

[24]

Greco

, Hoda

M R

, Mohammed

, et al. Laparoendoscopic single-site and conventional laparoscopic radical nephrectomy result in equivalent surgical trauma:preliminary results of a single-centre retrospective controlled study[J]. Eur Urol, 2012, 61(5):1048-1053. DOI:10.1016/j.eururo.2012.01.043.

本文引用 [1]

[25]	乔明静, 杨立, 徐臻, 等. 妇科经脐单孔腹腔镜手术并发症的预防及处理河南专家共识[J]. 河南医学研究, 2024, 33(23):4225-4229. DOI:10.3969/j.issn.1004-437X.2024.23.001. 本文引用 [1]

[26]	Das D, Propst K, Wechter ME, et al. Evaluation of positioning devices for optimization of outcomes in laparoscopic and robotic-assisted gynecologic surgery[J]. J Minim Invasive Gynecol, 2019, 26(2):244-252. DOI:10.1016/j.jmig.2018.08.027. 本文引用 [1]

[27]	Janetschek G. Robotics:Will they give a new kick to single-site surgery[J]. Eur Urol, 2014, 66(6):1044-1045. DOI:10.1016/j.eururo.2014.07.029. 本文引用 [1]