Innovation of LESS-OPEN concept and its application and prospect in ovarian cystectomy

Yanzhou WANG; Wenwei TAN

doi:10.16016/j.2097-0927.202405092

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Innovation of LESS-OPEN concept and its application and prospect in ovarian cystectomy

Expert Review | 更新时间：2026-01-09

- Innovation of LESS-OPEN concept and its application and prospect in ovarian cystectomy
- Journal of Army Medical University Vol. 46, Issue 19, Pages: 2165-2170(2024)
- 作者机构：
  
  1.400038 重庆，陆军军医大学第一附属医院妇产科
  2.408500 重庆，武隆区妇幼保健院妇产科
- 作者简介：
- 基金信息：
  
  the Special Key Project of Technological Innovation and Application Development of Chongqing(CSTB2022TIAD-KPX0154)
- DOI：10.16016/j.2097-0927.202405092
  CLC： R711.75;R713.6
- Received：27 May 2024，
  
  Revised：2024-07-11，
  
  Published：15 October 2024
- 稿件说明：
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Yanzhou WANG, Wenwei TAN. Innovation of LESS-OPEN concept and its application and prospect in ovarian cystectomy[J]. Journal of Army Medical University, 2024, 46(19): 2165-2170.
DOI：

Yanzhou WANG, Wenwei TAN. Innovation of LESS-OPEN concept and its application and prospect in ovarian cystectomy[J]. Journal of Army Medical University, 2024, 46(19): 2165-2170. DOI： 10.16016/j.2097-0927.202405092.

摘要

卵巢囊肿是妇科最常见的疾病之一，腹腔镜手术是治疗良性卵巢肿瘤的重要手段，单孔腹腔镜手术(laparoendoscopic single-site surgery

LESS)因将瘢痕隐藏于肚脐而备受女性患者的青睐，而单孔腹腔镜结合开腹手术(open surgery)有望在保证美观的同时，降低手术难度，更好的保留卵巢功能。本团队在国内首创了单孔腹腔镜联合开腹手术(LESS-OPEN)理念，在卵巢囊肿的治疗上取得了很好的疗效，并在国际上率先构建了单孔腹腔镜体外(LESS-E)卵巢囊肿剥除术可行性预测评分系统，在此基础上建立了卵巢囊肿LESS-E手术适应证体系。本述评旨在讨论LESS-OPEN理念在卵巢囊肿剥除中的应用，并对该项技术的发展进行展望。

Abstract

Ovarian cysts are one of the most common gynecological diseases

and laparoscopic surgery has been considered as the main approach for treating benign ovarian tumors. Laparoendoscopic single site surgery (LESS) is favored by women due to its hidden scar in the umbilicus. Combining single-port laparoscopy with open surgery (OPEN) can enhance aesthetic outcomes

reduce surgical complexity

and preserve ovarian function better. The concept of LESS-OPEN pioneered by our team in China has shown significant efficacy in treating ovarian cysts. We also pioneered the construction of a feasibility prediction scoring system for laparoendoscopic single-site extracorporeal (LESS-E) ovarian cystectomy

and established an indication system for LESS-E surgery for ovarian cysts to guide surgeons in selecting surgical approaches. This paper aims to discuss the application of the LESS-OPEN technique in ovarian cystectomy and to explore its future prospects.

关键词

Keywords

references

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