Abstract:

Abstract： Objective To investigate the effect,safety and excellence of laparo-endoscopic single-site salpingectomy(LESS) with conventional equipment.Methods Compare between two groups who were hospitalized in the gynecology department of the Jiaxing First Hospital between August 2011 and August 2012 one group (n=41) underwent conventional equipment laparo-endoscopic single-site salpingectomy,and another group(n=45) underwent conventional lapro-endoscopic salpingectomy(CLES). Results The cosmetic outcomes of LESS were better than that of CLES.The operating time of LESS was (30.43±5.83) min，and the intraoperative blood loss was (8.63±3.79) mL , the recovery time of gastrointestinal function was (5.03±0.72 )d , the length of stay was (5.03±0.72) d. The operating time of CLES was (21.09±3.82) min,and the intraoperative blood loss was (8.23±3.31) mL, the recovery time of gastrointestinal function was (5.24±0.63) d, the length of stay was (5.24±0.63 )d.So the operating time of LESS was longer（P<0.05）,but there was no significant difference in intraoperative blood loss,recovery time of gastrointestinal function and length of stay between two groups （P>0.05）. Conclusion With better cosmetic outcomes,LESS is safe and feasible with conventional equipment and easier accepted by patients.

Key words: conventional equipment, laparo-endoscopic salpingectomy, single-site

摘要：

目的 探讨常规器械经脐单孔腹腔镜输卵管切除术的临床疗效、安全性及其优点。方法 对嘉兴学院附属第一医院2011年8月至2012年8月41例输卵管妊娠患者行常规器械经脐单孔腹腔镜输卵管切除术，并与同期45例常规腹腔镜下输卵管切除术比较。结果　两组相比，单孔腹腔镜组术后切口美观优于传统腹腔镜组，单孔腹腔镜组手术时间（30.43±5.83） min，术中出血量（8.63±3.79 ）mL，术后排气时间（28.35±7.41） h，住院时间（5.03±0.72） d。传统腹腔镜组手术时间（21.09±3.82 ）min，术中出血量（8.23±3.31） mL，术后排气时间（29.85±6.24） h，住院时间（5.24±0.63） d。单孔腹腔镜组手术时间略长于传统腹腔镜组，差异有统计学意义（P<0.05），术中出血量、术后排气时间及住院时间两组差异无统计学意义（P>0.05）。结论　经脐单孔腹腔镜输卵管切除术在常规腹腔镜器械下可以安全、可靠地完成，术后腹壁瘢痕不明显，易被患者接受。

关键词: 常规器械, 腹腔镜输卵管切除术, 单孔