妇科单孔腹腔镜手术相关并发症分析及其预防策略

缪妙, 陈继明

中国实用妇科与产科杂志 ›› 2025, Vol. 41 ›› Issue (7) : 702-706.

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中国实用妇科与产科杂志 ›› 2025, Vol. 41 ›› Issue (7) : 702-706. DOI: 10.19538/j.fk2025070108
专题笔谈

妇科单孔腹腔镜手术相关并发症分析及其预防策略

作者信息 +

Analysis of complications related to gynecologic single-port laparoscopic surgery and prevention strategies

Author information +
文章历史 +

摘要

随着单孔腹腔镜技术在妇科疾病诊治中的广泛应用,与其相关的手术并发症问题逐渐显现,直接影响患者的预后。文章结合相关文献,针对妇科单孔腹腔镜手术相关并发症的发生及预防进行阐述,旨在提前预见并及时识别手术并发症,改善患者预后,提高医疗安全,促进妇科单孔腹腔镜技术的高质量发展。

Abstract

With the widespread application of single-port laparoscopic surgery in the diagnosis and treatment of gynecological diseases,related surgical complications have gradually emerged,directly impacting patient outcomes. This article,based on the related literature,elaborates on the occurrence and prevention of complications associated with gynecologic single-port laparoscopic procedures. The aims are to anticipate and promptly identify surgical complications,improve patient prognosis,enhance medical safety,and promote the high-quality development of gynecologic single-port laparoscopic techniques.

关键词

妇科单孔腹腔镜手术 / 手术并发症 / 预防策略

Key words

gynecologic single-port laparoscopic surgery / surgical complications / prevention strategies

引用本文

导出引用
缪妙, 陈继明. 妇科单孔腹腔镜手术相关并发症分析及其预防策略[J]. 中国实用妇科与产科杂志. 2025, 41(7): 702-706 https://doi.org/10.19538/j.fk2025070108
MIAO Miao, CHEN Ji-ming. Analysis of complications related to gynecologic single-port laparoscopic surgery and prevention strategies[J]. Chinese Journal of Practical Gynecology and Obstetrics. 2025, 41(7): 702-706 https://doi.org/10.19538/j.fk2025070108
中图分类号: R713.1   

参考文献

[1]
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.
[2]
Lees B, Brown J. Evaluation and management of common intraoperative and postoperative complications in gynecologic endoscopy[J]. Obstet Gynecol Clin North Am, 2022, 49(2):355-368.DOI:10.1016/j.ogc.2022.03.002.
[3]
Morrow J, Curry D, Dooher M, et al. Minimally Invasive management of delayed recognition iatrogenic ureteric injury[J]. Ulster Med J, 2017, 86(3):181-184.
[4]
陆安伟, 周莉. 腹主动脉旁淋巴结切除术中应注意的解剖学问题[J]. 中国实用妇科与产科杂志, 2025, 41(1):40-42.DOI:10.19538/j.fk2025010111.
[5]
Lynch TH, Martínez-Piñeiro L, Plas E, et al. EAU Guidelines on Urological Trauma[J]. European urology, 2005, 47(1):1-15.DOI:10.1016/j.eururo.2004.07.028.
[6]
Smith AP, Bazinet A, Liberman D. Iatrogenic ureteral injury after gynecological surgery[J]. Can Urol Assoc J, 2019, 13(6):S51-S55.DOI:10.5489/cuaj.5936.
[7]
张清泉, 王世军. 腹腔镜下全子宫切除术如何从解剖学角度避免输尿管损伤[J]. 中国实用妇科与产科杂志, 2025, 41(1):53-55.DOI:10.19538/j.fk2025010115.
[8]
Glaser L M, Milad M P. Bowel and Bladder Injury Repair and Follow-up After Gynecologic Surgery[J]. Obstet Gynecol, 2019, 133(2):313-322.DOI:10.1097/AOG.0000000000003067.
[9]
Vilos GA, Vilos AG, Abu-Rafea B, et al. Bowel injury in laparoscopic gynaecological surgery; 19 medicolegal cases[J]. Eur J Obstet Gynecol Reprod Biol, 2022, 270:261-264.DOI:10.1016/j.ejogrb.2021.12.026.
[10]
Eisner IS, Wadhwa RK, Downing KT, et al. Prevention and management of bowel injury during gynecologic laparoscopy: an update[J]. Curr Opin Obstet Gynecol, 2019, 31(4):245-250. DOI:10.1097/GCO.0000000000000552.
[11]
方莉莉. 妇科腹腔镜手术并发症分析及预防措施探讨[D]. 皖南医学院, 2018.
[12]
李素芬, 谢荣凯. 实施妇科附件手术应注意的解剖学问题[J]. 中国实用妇科与产科杂志, 2025, 41(1):64-65.DOI:10.19538/j.fk2025010118.
[13]
陈春林, 李维丽. 重视临床应用解剖学研究——对妇产科手术进行系统分区[J]. 中国实用妇科与产科杂志, 2025, 41(1):26-30.DOI:10.19538/j.fk2025010107.
[14]
缪妙, 夏百荣, 陈继明, 等. 脐孔美学在经脐单孔腹腔镜妇科手术切口构建与重建中的应用[J]. 中国现代手术学杂志, 2023, 27(6):490-493.DOI:10.16260/j.cnki.1009-2188.2023.06.012.
[15]
郑莹, 熊光武, 刘娟, 等. 经脐单孔腹腔镜手术脐部切口管理专家共识(2022年版)[J]. 实用妇产科杂志, 2022, 38(03):192-197.
[16]
Antoniou SA, Morales-Conde S, Antoniou GA, et al. Single-incision laparoscopic surgery through the umbilicus is associated with a higher incidence of trocar-site hernia than conventional laparoscopy:a meta-analysis of randomized controlled trials[J]. Hernia, 2016, 20(1):1-10. DOI:10.1007/s10029-015-1371-8.
[17]
Watrowski R, Kostov S, Alkatout I. Complications in laparoscopic and robotic-assisted surgery: definitions, classifications, incidence and risk factors - an up-to-date review[J]. Wideochir Inne Tech Maloinwazyjne, 2021, 16(3):501-525. DOI:10.5114/wiitm.2021.108800.
[18]
姜敏. 一项新型单孔免气腹腹腔镜通道的临床应用[D]. 同济大学, 2022.
[19]
刘开江. 盆腔淋巴结切除术中应注意的解剖学问题[J]. 中国实用妇科与产科杂志, 2025, 41(1):42-46.DOI:10.19538/j.fk2025010112.
[20]
郎景和. 外科水的利用——外科水利[J]. 中国实用妇科与产科杂志, 2025, 41(1):7-8.DOI:10.19538/j.fk2025010102.
[21]
关小明, 张意茗, 范晓东. 单孔腹腔镜技术的发展及展望[J]. 山东大学学报(医学版), 2019, 57(12):5-9.

基金

中国医药卫生事业发展基金会资助课题(BJ2023YCPYJH003)
常州市卫生健康人才国外研修资助项目(GW2023024)
常州市“十四五”卫生健康高层次人才培养工程(2022CZBJ074)
江苏省妇幼健康重点人才项目(RC202101)
常州市卫健委科技重大项目(ZD202314)

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