目的 探讨经脐三孔无瘢痕腹腔镜输卵管切除术的安全性及可行性。方法 回顾性分析30例输卵管妊娠患者以肚脐为中心,用提线法悬吊脐部,选择脐轮外缘内侧“品”字形切口,行经脐三孔无疤痕腹腔镜输卵管切除术的临床资料,对其临床疗效进行总结评价。结果 30例手术均顺利完成,无1例中转常规腹腔镜或开腹手术。所有患者均未发生近、远期并发症,痊愈后腹部无明显手术疤痕。手术时间平均(35.48±11.32)min,术中出血平均(15.3±2.25)mL,术后肛门排气时间(24.32±6.48)h,住院时间(4.02±0.48)d。 结论 经脐三孔无疤痕腹腔镜输卵管切除术,安全可行,术后腹部无可见疤痕,疼痛少、恢复快,具有临床推广价值。
Objective To explore the safety and feasibility of trasumbilical threeport laparoscopic salpingectomy without visible scars. Methods A total of 30 patients with tubal pregnancy were enrolled and underwent trasumbilical threeport laparoscopic salpingectomy without visible scars. During operation, the umbilical regions were taken as the center and were suspended by threads. A trianglelike incision was performed inside the exterior margin of navel. The clinical data of patients was retrospectively analyzed and the surgical efficacy was assessed. Results The surgery was completed uneventfully in the 30 cases without convention to routine laparoscopic or open surgery. No shortterm or longterm complications occurred in any cases. All of the patients recovered without abdominal visible scar. The mean operative duration was (35.48±11.32) min, the mean intraoperative blood loss was (15.3±2.25) mL, the postoperative anal exhaust time was (24.32±6.48) h, and the hospital stay was (4.02±0.48) d. Conclusions Trasumbilical three ports laparoscopic salpingectomy without visible scars is safe and feasible. This approach has the advantages of abdominal invisible scars, less pain and faster recovery, and is worthy of clinical promotion.