[1]彭诗意 郑莹** 杨帆 王卡娜.免举宫的经脐单孔腹腔镜宫颈癌根治术37例[J].中国微创外科杂志,2022,01(9):722-727.
　Peng Shiyi,Zheng Ying,Yang Fan,et al.Transumbilical Singleport Laparoscopic Radical Hysterectomy With Pelvic Lymphadenectomy Without Uterine Manipulator: Report of 37 Cases[J].Chinese Journal of Minimally Invasive Surgery,2022,01(9):722-727.
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免举宫的经脐单孔腹腔镜宫颈癌根治术37例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2022年9期
页码:
722-727
栏目:
临床研究
出版日期:
2023-01-13

文章信息/Info

Title:
Transumbilical Singleport Laparoscopic Radical Hysterectomy With Pelvic Lymphadenectomy Without Uterine Manipulator: Report of 37 Cases
作者:
彭诗意 郑莹** 杨帆 王卡娜
(四川大学华西第二医院妇产科出生缺陷与相关妇儿疾病教育部重点实验室，成都610041)
Author(s):
Peng Shiyi;  Zheng Ying;  Yang Fan;  et al.
Department of Gynecology, Key Laboratory of Birth Defects and Related Maternal and Child Diseases of Ministry of Education, West China Second Hospital, Sichuan University, Chengdu 610041, China
关键词:
宫颈癌; 经脐单孔腹腔镜手术; 免举宫
Keywords:
Cervical cancer; Transumbilical laparoendoscopic singlesite surgery; Without uterine manipulator
文献标志码:
A
摘要:
目的探讨免举宫器行经脐单孔腹腔镜(transumbilical laparoendoscopic singlesite surgery，TULESS)宫颈癌根治术的可行性及安全性。方法回顾性分析2019年4月~2021年5月37例ⅠB1、ⅠB2或ⅡA1期(FIGO 2018)宫颈癌并采用“郑氏4C悬吊法”行免举宫TULESS宫颈癌根治术的手术结局。结果2例中转多孔腹腔镜手术，其中1例因盆腔粘连严重，另1例因肥胖(BMI 28.8)、术野暴露困难。35例完成TULESS手术，手术时间(280.6±8.6)min，术中出血量(162.9±17.9)ml。术中膀胱损伤1例，在单孔腹腔镜下成功行膀胱修补术。左、右侧宫旁组织切除宽度分别为(3.0±0.3)cm、(3.3±0.1)cm，阴道切除长度(3.1±0.1)cm，盆腔淋巴结切除数(30.0±1.2)枚。手术切缘均为阴性。35例TULESS术后随访5.6~29.5月，中位数11.0月，无复发或死亡。结论在“郑氏4C悬吊法”的有效暴露协助下，免举宫TULESS宫颈癌根治术是安全可行的。
Abstract:
ObjectiveTo investigate the feasibility and safety of radical hysterectomy （RH） with pelvic lymphadenectomy (PLND) via transumbilical laparoendoscopic singlesite surgery (TULESS) without uterine manipulator.MethodsA retrospective analysis was made on surgical outcomes of 37 patients diagnosed with stage ⅠB1,ⅠB2,ⅡA1 cervical cancer （FIGO 2018） from April 2019 to May 2021, who underwent TULESSRH/PLND by using “Zheng’s 4C suspension method”.ResultsTwo patients were converted to multiport laparoscopic surgery, one of them was secondary to heavy pelvic adhesion and the other was due to obesity （BMI 28.8） and difficult exposure of surgical field. Thirtyfive patients underwent the TULESSRH/PLND successfully. Of the 35 patients,the operative time was (280.6±8.6) min, and the intraoperative bleeding was (162.9±17.9) ml. One patient experienced intraoperative bladder injury which was successfully repaired via singleport laparoscopy.The resection widths of left and right side of parametrial tissue were (3.0±0.3) cm and (3.3±0.1) cm, respectively, and the resection length of vagina was (3.1±0.1) cm. The number of harvested pelvic lymph nodes was (30.0±1.2). The margins of all specimens were negative. The postoperative followup time was 5.6-29.5 months, with a median of 11.0 months. No recurrences and deaths were observed. Conclusion With the assistance of the “Zheng’s 4C suspension method”, TULESSRH/PLND without uterine manipulator for cervical cancer is feasible and safe.

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备注/Memo

备注/Memo:
基金项目：四川省科技厅重点研发项目(2020YFS0049)；成都市科技局技术创新研发项目(2019-YF05-00473-SN)**通讯作者，Email：zhy_chd@126.com
更新日期/Last Update: 2023-01-13