单孔腹腔镜技术在妇科应用中的若干问题

唐均英; 龚瑶

doi:10.16016/j.1000-5404.201812154

您当前的位置：

首页 >

文章列表页 >

单孔腹腔镜技术在妇科应用中的若干问题

专家述评 | 更新时间：2026-01-09

- 单孔腹腔镜技术在妇科应用中的若干问题
- Issues in application of laparoendoscopic single-site surgery and natural orifice transluminal endoscopic surgery in gynecology
- 第三军医大学学报 2019年41卷第7期页码：631-636
- 作者机构：
  
  400016 重庆，重庆医科大学附属第一医院妇科
- 作者简介：
  
  [ 唐均英，博士，主任医师，教授，硕士研究生导师。担任国家卫生计生委妇科四级内镜手术培训基地负责人，中国医师协会重庆妇产分会副会长，重庆市抗癌协会妇科肿瘤专委会副主任委员，重庆市医学会妇产科专业委员会第五届委员会妇科内分泌计划生育学组副组长，重庆市卫生计生委二类技术评审专家组组长，重庆市妇幼保健协会专家委员会成员。主持及参与多项国家自然科学基金和省部级科研课题。在国内外各种重要学术刊物上发表论文50余篇，参编专著4部。主要从事妇科肿瘤微创治疗方面的研究。E-mail：tangjy_cqmu@sina.com TANG Junying, E-mail:tangjy_cqmu@sina.com
- 基金信息：
  
  重庆市科委社会事业与民生保障科技创新专项课题(CSTC2015shmszx0004)
- DOI：10.16016/j.1000-5404.201812154
  中图分类号： R713
- 收稿：2018-12-18，
  
  修回：2019-02-12，
  
  纸质出版：2019-04-15
- 稿件说明：
移动端阅览
唐均英, 龚瑶. 单孔腹腔镜技术在妇科应用中的若干问题[J]. 第三军医大学学报, 2019,41(7):631-636.

Junying TANG, Yao GONG. Issues in application of laparoendoscopic single-site surgery and natural orifice transluminal endoscopic surgery in gynecology[J]. Journal of Third Military Medical University, 2019, 41(7): 631-636.
唐均英, 龚瑶. 单孔腹腔镜技术在妇科应用中的若干问题[J]. 第三军医大学学报, 2019,41(7):631-636. DOI： 10.16016/j.1000-5404.201812154.

Junying TANG, Yao GONG. Issues in application of laparoendoscopic single-site surgery and natural orifice transluminal endoscopic surgery in gynecology[J]. Journal of Third Military Medical University, 2019, 41(7): 631-636. DOI： 10.16016/j.1000-5404.201812154.

摘要

Abstract

Compared with the conventional multiport laparoscopy

laparoendoscopic single-site surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES) have shown their advantages in the postoperative cosmetic effect

which promotes the rapid development of these technologies in gynecology in recent years. LESS and transvaginal NOTES (vNOTES) are more difficult to operate and both have longer learning curves than multiport laparoscopy. A comprehensive understanding of the operative techniques in LESS may facilitate its wider application. Currently LESS and vNOTES are used mostly for treatment of benign gynecological diseases

and their application in treatment of malignancies remains challenging and controversial. Some robotic platforms overcome the limitation of human hands

and may represent the future direction of gynecological surgeries.

关键词

Keywords

references

黄琳娟, 代雪林, 唐均英, 等. "三位一体"认识和处理单孔腹腔镜的"筷子效应"[J].医学与哲学, 2018, 39(9B): 76-77, 86. DOI: 10. 12014/j.issn.1002-0772.2018.09b.22.

HUANG L J, DAI X L, TANG J Y, et al. Trinity and the chopsticks effect in laparoendoscopic single-site surgery[J]. Med Philos, 2018, 39(9B): 76-77, 86. DOI: 10.12014/j.issn. 1002-0772.2018.09b.22.

龚瑶, 周容, 代雪林, 等.自制入路通道单孔腹腔镜手术治疗妇科良性疾病60例临床分析[J].中国实用妇科与产科杂志, 2019, 35(3):330-333. DOI:10.19538/j.fk2019030118.

GONG Y, ZHOU R, DAI X L, et al. Laparoendoscopic single-site surgery using a homemade glove port in 60 benign gynecologic cases[J]. Chin J Prac Obstetr Gynecol, 2019, 35(3): 330-333. DOI:10.19538/j.fk2019030118.

CHEN X, LIU H Y, SUN D W, et al. Transvaginal natural orifice transluminal endoscopic surgery for tubal pregnancy and a device innovation from our institution[J]. J Minim Invas Gynecol, 2019, 26(1): 169-174. DOI: 10.1016/j.jmig.2018.05.013.

杨婷, 钟雅祯, 刘沫含, 等.筷子使用中的工效学评估及关节运动模型[J].应用心理学, 2016, 22(2): 127-136. DOI: 10.3969/j.issn.1006- 6020.2016.02.003.

YANG T, ZHONG Y Z, LIU M H, et al. Ergonomic analysis and joints movement model during chopsticks using[J]. Chin J Appl Psychol, 2016, 22(2): 127-136. DOI: 10. 3969/j.issn.1006-6020.2016.02.003.

王延洲, 陈诚, 徐嘉莉, 等. "筷子法"单孔腹腔镜技术在宫颈癌中的应用[J].中华腔镜外科杂志(电子版), 2018, 11(1): 28-31. DOI: 10.3877/cma.j.issn.1674-6899.2018.01.008.

WANG Y Z, CHEN C, XU J L, et al. The application of "chopsticks technique" single-site laparoscopic surgery technology in cervical cancer[J]. Chin J Laparosc Surg (Electr Ed), 2018, 11(1): 28-31. DOI: 10.3877/cma.j.issn.1674-6899.2018.01.008.issn.1674-6899.2018.01.008.

JOSEPH R A, GOH A C, CUEVAS S P, et al. "Chopstick" surgery: a novel technique improves surgeon performance and eliminates arm collision in robotic single-incision laparoscopic surgery[J]. Surg Endosc, 2010, 24(6): 1331-1335. DOI: 10.1007/s00464- 009-0769-8.

KLIETHERMES C, BLAZEK K, ALI K, et al. Postoperative pain after single-site versus multiport hysterectomy[J]. JSLS, 2017, 21(4): e2017.00065. DOI: 10.4293/jsls.2017.00065.

SANDBERG E M, LA CHAPELLE C F, VAN DEN TWEEL M M, et al. Laparoendoscopic single-site surgery versus conventional laparoscopy for hysterectomy: a systematic review and meta-analysis[J]. Arch Gynecol Obstet, 2017, 295(5): 1089-1103. DOI: 10.1007/s00404-017-4323-y.

SU H, WU K Y, KUO H H, et al. Transumbilical single-site laparoscopy takes the advantage of ultraminilaparotomy in managing an extremely large ovarian cyst[J]. Gynecol Minim Invas Ther, 2012, 1(1): 37-39. DOI: 10.1016/j.gmit.2012.08.008.

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[J].中国微创外科杂志, 2019, 19(4):128-130.DOI:10.3969/j.issn.1009-6604.2019.04.000.

GONG Y, QIN Y, DAI X L, et al. Single port laparoscopic assisted extracorporeal giant ovarian tumor removal: report of 4 cases[J]. Chin J Minim Invas Surg, , 2019, 19(4):128-130.DOI:10.3969/j.issn.1009-6604.2019.04.000.

孙大为.中国大陆妇科单孔腹腔镜及NOTES手术的探索发展及现状[J].中华腔镜外科杂志(电子版), 2018, 11(1): 1-3. DOI: 10.3877/cma.j.issn.1674- 6899.2018.01.001.

SUN D W. The development of less and NOTES in China[J]. Chin J Laparosc Surg (Electr Ed), 2018, 11(1): 1-3. DOI: 10.3877/cma.j.issn. 1674-6899.2018.01.001.

王延洲, 陈功立, 徐嘉莉, 等.单孔腹腔镜广泛子宫切除盆腔淋巴结清扫治疗宫颈癌:一项单中心的初步研究[J].第三军医大学学报, 2017, 39(13): 1392-1395. DOI: 10.16016/j. 1000-5404.201704007.

WANG Y Z, CHEN G L, XU J L, et al. Laparoendoscopic single-site radical hysterectomy with pelvic lymphadenectomy for cervical cancer: a single-center trial[J]. J Third Mil Med Univ, 2017, 39(13): 1392-1395. DOI: 10.16016/j.1000-5404.201704007.

刘木彪, 蔡慧华.全国首例单孔腹腔镜手术治疗妇科恶性肿瘤[J].南方医科大学学报, 2011, 31(9): 1619-1621.

LIU M B, CAI H H. Laparoendoscopic single-site surgery for gynecologic malignancy: the first report in China[J]. J South Med Univ, 2011, 31(9): 1619-1621.

吴治敏, 王卉, 李玲, 等.单孔与传统腹腔镜下行宫颈癌根治手术患者围手术期对比研究[J].第三军医大学学报, 2018, 40(16): 1507-1511. DOI: 10.16016/j.1000-5404.201802109.

WU Z M, WANG H, LI L, et al. Perioperative outcomes of patients receiving single-site versus multi-site laparoscopic radical hysterectomy for cervical cancer[J]. J Third Mil Med Univ, 2018, 40(16): 1507-1511. DOI: 10. 16016/j.1000-5404.201802109.

RAMIREZ P T, FRUMOVITZ M, PAREJA R, et al. Minimally invasive versus abdominal radical hysterectomy for cervical cancer[J]. N Engl J Med, 2018, 379(20): 1895-1904. DOI: 10. 1056/NEJMoa1806395.

MELAMED A, MARGUL D J, CHEN L, et al. Survival after minimally invasive radical hysterectomy for early-stage cervical cancer[J]. N EnglJ Med, 2018, 379(20): 1905-1914. DOI: 10.1056/NEJMoa1804923.

IAVAZZO C, MINIS E E, GKEGKES I D. Single-site port robotic-assisted hysterectomy: An update[J]. J Robot Surg, 2018, 12(2): 201-213. DOI: 10.1007/s11701-018-0789-2.

[刘晓军, 高京海, 刘洋, 等.第三代da Vinci Si机器人手术系统在妇科单孔腹腔镜手术中的初步应用[J/OL ] .第二军医大学学报, (2018-07-23)[2018-12-05 ] : 1-8. http://kns.cnki.net/kcms/detail/31.1001.R.20180723.0858.002.html http://kns.cnki.net/kcms/detail/31.1001.R.20180723.0858.002.html .

[LIU X J, GAO J Q, LIU Y, et al. Preliminary application of Da Vinci Si robotic surgery system in gynecologicalsingle-port laparoscopic surgery[J/OL ] . Acad J Sec Mil Med Univ, (2018-07-23)[2018-12-05 ] : 1-8. http://kns.cnki.net/kcms/detail/31.1001.R.20180723.0858.002.html http://kns.cnki.net/kcms/detail/31.1001.R.20180723.0858.002.html .

MATANES E, LAUTERBACH R, BOULUS S, et al. Robotic laparoendoscopic single-site surgery in gynecology: A systematic review[J]. Eur J Obstet Gynecol Reprod Biol, 2018, 231: 1-7. DOI: 10.1016/j.ejogrb.2018.10.006.

BAEKELANDT J F, DE MULDER P A, LE ROY I, et al. Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopy as a day-care procedure: A randomised controlled trial[J]. BJOG, 2019, 126(1): 105-113. DOI: 10.1111/1471-0528. 15504.

TANTITAMIT T, LEE C L. Application of sentinel lymph node technique to transvaginal natural orifices transluminal endoscopic surgery in endometrial cancer[J]. J Minim Invas Gynecol, 2018: S1553- S4650(18)31288-3. DOI: 10.1016/j.jmig.2018.10.001.

KAOUK J, GARISTO J, BERTOLO R.Robotic urologic surgical interventions performed with the single port dedicated platform: first clinical investigation[J]. Eur Urol, 2018: S0302-S2838(18)30943-6.DOI: 10.1016/j.eururo.2018.11.044.

NAMDARIAN B, DASGUPTAP.What robot for tomorrow and what improvement can we expect?[J]. Curr Opin Urol, 2018, 28(2): 143-152. DOI: 10.1097/MOU.0000000 000000474.

ATALLAH S, HODGES A, LARACH S W. Direct target NOTES: prospective applications for next generation robotic platforms[J]. Tech Coloproctol, 2018, 22(5): 363-371. DOI: 10. 1007/s10151-018-1788-z.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

机器人辅助经后腹腔入路肾部分切除术118例分析