[1]黄达元 孙莉 陈学红 陈海晏*.基于无瘤技术自制取物袋在经脐三孔腹腔镜卵巢囊肿剔除术中的应用[J].中国微创外科杂志,2021,01(5):464-466.
　Huang Dayuan,Sun Li,Chen Xuehong,et al.Application of Selfmade Bag in Transumbilical Threeport Laparoscopic Ovarian Cyst Removal Based on Tumorfree Technique[J].Chinese Journal of Minimally Invasive Surgery,2021,01(5):464-466.
点击复制

基于无瘤技术自制取物袋在经脐三孔腹腔镜卵巢囊肿剔除术中的应用()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2021年5期
页码:
464-466
栏目:
经验交流
出版日期:
2021-05-25

文章信息/Info

Title:
Application of Selfmade Bag in Transumbilical Threeport Laparoscopic Ovarian Cyst Removal Based on Tumorfree Technique
作者:
黄达元 孙莉 陈学红 陈海晏*
（重庆市梁平区妇幼保健院妇产科，重庆405200）
Author(s):
Huang Dayuan;  Sun Li;  Chen Xuehong;  et al.
Department of Obstetrics and Gynecology, Maternal and Child Health Hospital, Chongqing 405200, China
关键词:
经脐三孔腹腔镜手术; 卵巢肿瘤; 无瘤技术
Keywords:
Transumbilical threeport laparoscopic surgery; Ovarian tumor; Tumorfree technique
文献标志码:
B
摘要:
目的探讨基于无瘤技术自制取物袋用于经脐三孔腹腔镜卵巢囊肿剔除术的可行性和安全性。方法2020年10~11月，利用常规腹腔镜器械和自制取物袋采用无瘤技术行经脐三孔腹腔镜卵巢囊肿剔除术15例。将普通取物袋开口(A端)线绳换为7号丝线，另一端(B端)一角剪5 cm开口，用7号丝线缝合开口边缘。用手术钳将取物袋经10 mm trocar送入腹腔，让B端丝线位于trocar侧方并固定在腹腔外。将7号丝线穿入20 ml注射器针头后对折，于耻骨联合上避开膀胱穿刺入腹腔，针尖处形成一个套圈，A端7号丝线穿入套圈引出腹壁外。将腹腔镜和两手术器械从B端开口移入取物袋内，经A端开口将卵巢套入取物袋内，收紧取物袋两端开口，充气后在密闭状态下行卵巢囊肿剔除术，分次取出标本及取物袋（简称：黄氏单孔法卵巢囊肿剔除术）。结果15例均成功完成无瘤技术经脐三孔腹腔镜卵巢囊肿剔除术，将卵巢套入取物袋内采用密闭式无瘤技术剔除囊肿并取出，术后2~3 d出院，无并发症发生。结论采用本方法完成经脐三孔腹腔镜卵巢囊肿剔除术符合无瘤原则，安全可行。
Abstract:
ObjectiveTo investigate the feasibility and safety of selfmade bag in transumbilical threeport laparoscopic ovarian cyst removal based on tumorfree technique.MethodsFrom October to November 2020, 15 cases of ovarian cystectomy with transumbilical threeport laparoscopy were performed by using conventional laparoscopic instruments and a selfmade specimen bag based on tumorfree technique. The opening line of the ordinary bag (end A) was replaced with 7# silk thread, and the other corner (end B) was cut to about 5 cm long with the opening edge stitched with 7# silk thread. After the bag was sent into the abdominal cavity by a 10 mm trocar with the operating forceps, the end B silk wire was placed on the side of trocar and fixed outside the abdominal cavity. The 7# silk thread was inserted into the needle of the 20 ml syringe and folded in half. The needle tip was placed on the symphysis pubis into the abdominal cavity. A ring was formed at the tip of the needle, and the 7# silk thread at the end A was inserted into the ring and led out of the abdominal wall. The laparoscope and two surgical forceps were moved into the bag from the end B opening, and the ovarian sleeve was placed into the bag through the end A opening. The openings at both ends of the bag were tightened, and the ovarian cyst removal was performed in closed manner after inflating, and the specimen and bag were removed in stages (Huang’s singlehole ovarian cyst removal method).ResultsAll the 15 patients successfully underwent transumbilical threeport laparoscopic ovarian cyst removal, and the ovaries were placed into pouches and the cysts were removed by the closed tumourfree technique. They were discharged 2-3 days after the operation without complications.ConclusionIt is safe and feasible to use this method to complete transumbilical threeport laparoscopic ovarian cyst removal, which is in accordance with the principle of tumorfree.

参考文献/References:

[1]黄达元，孙莉，陈海晏，等．自制气体反压平台在经脐单孔腹腔镜妇科手术中的应用.中国微创外科杂志，2020，20(10)：955-957．
[2]刘思伟，李元宏，雷华江，等.无入路平台经脐单切口腹腔镜与多孔腹腔镜卵巢囊肿剥除术的临床效果比较.实用医院临床杂志，2019，16（1）：48-50.
[3]庄良武，吕新萍，陈捷．增加辅助孔的经脐单孔腹腔镜巨大卵巢囊肿手术．中国微创外科杂志，2020，20(4)：314-317．
[4]Balusamy S，Salgaonkar HP，Behera RR，et al.Laparoendoscopic singlesite adnexal surgery:preliminary Indian experience．J Minim Access Surg，2017，13(3)：170-175．
[5]张自辉，李爽，刘刚．经脐单孔腹腔镜与传统腹腔镜治疗卵巢成熟畸胎瘤的疗效对比研究.中国妇产科临床杂志，2020，21(2)：141-144．
[6]韩晖，张静，孔庆铎，等．经脐单孔腹腔镜与传统腹腔镜卵巢囊肿剥除术的比较．中国微创外科杂志，2020，20(2)：107-110．
[7]龚瑶，秦艳，代雪林，等．经脐单孔腹腔镜辅助下体外巨大卵巢肿瘤剥除术4例报告．中国微创外科杂志，2019，19(4)：375-377．
[8]张国楠，石宇，朱熠．无瘤技术是腹腔镜下子宫（肿瘤）分碎术的安全保障：时隔７年再谈分碎术与防范措施的进步．肿瘤预防与治疗，2019，32(5)：381-384．

备注/Memo

备注/Memo:
*通讯作者，Email：395551679@qq.com
更新日期/Last Update: 2021-08-06