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

YANG Qing; ZHANG Ning-ning

doi:10.19538/j.fk2025070105

PDF(892 KB)

Chinese Journal of Practical Gynecology and Obstetrics ›› 2025, Vol. 41 ›› Issue (7) : 691-695. DOI: 10.19538/j.fk2025070105

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

Author information +

History +

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.

Key words

laparoendoscopic single-site surgery / ovarian tumors / minimally invasive surgery / clinical application

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

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

References

List( Publishing order | Descend order by publishing year | Descend order by cited within ) Chart analysis

[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. Cited in this article [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. Cited in this article [1]

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

[16]

Bresson

, Allard-Duclercq

, Narducci

, 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.

Cited in this article [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. Cited in this article [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. Cited in this article [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. Cited in this article [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. Cited in this article [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. Cited in this article [1]

[22]

Hoyuela

, Juvany

, Guillaumes

, 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.

Cited in this article [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. Cited in this article [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.

Cited in this article [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. Cited in this article [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. Cited in this article [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. Cited in this article [1]