单孔腹腔镜与多孔腹腔镜治疗子宫内膜癌的对比研究

邓媛; 邓黎; 姚远洋; 唐帅; 谭文唯; 钟魁艳; 王延洲

doi:10.16016/j.2097-0927.202112221

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单孔腹腔镜与多孔腹腔镜治疗子宫内膜癌的对比研究

临床医学 | 更新时间：2026-01-09

- 单孔腹腔镜与多孔腹腔镜治疗子宫内膜癌的对比研究
- Comparison of laparoscopic single-site surgery and traditional laparoscopic surgery for endometrial cancer
- 陆军军医大学学报 2022年44卷第8期页码：818-823
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)第一附属医院妇产科
- 作者简介：
  
  [王延洲，E-mail: w.y.z@foxmail.com WANG Yanzhou, E-mail: w.y.z@foxmail.com
- 基金信息：
  
  陆军军医大学临床医学科研人才培养计划(2018XLC3002);重庆市卫生适宜技术推广项目(2021jstg010)
- DOI：10.16016/j.2097-0927.202112221
  中图分类号： R730.56;R737.33
- 收稿：2021-12-24，
  
  修回：2022-01-25，
  
  纸质出版：2022-04-30
- 稿件说明：
移动端阅览
邓媛, 邓黎, 姚远洋, 等. 单孔腹腔镜与多孔腹腔镜治疗子宫内膜癌的对比研究[J]. 陆军军医大学学报, 2022,44(8):818-823.

Yuan DENG, Li DENG, Yuanyang YAO, et al. Comparison of laparoscopic single-site surgery and traditional laparoscopic surgery for endometrial cancer[J]. Journal of Army Medical University, 2022, 44(8): 818-823.
邓媛, 邓黎, 姚远洋, 等. 单孔腹腔镜与多孔腹腔镜治疗子宫内膜癌的对比研究[J]. 陆军军医大学学报, 2022,44(8):818-823. DOI： 10.16016/j.2097-0927.202112221.

Yuan DENG, Li DENG, Yuanyang YAO, et al. Comparison of laparoscopic single-site surgery and traditional laparoscopic surgery for endometrial cancer[J]. Journal of Army Medical University, 2022, 44(8): 818-823. DOI： 10.16016/j.2097-0927.202112221.

摘要

目的

对比分析单孔腹腔镜(laparoendoscopic single-site surgery，LESS)和多孔腹腔镜(traditional laparoscopic surgery，TLS)在子宫内膜癌全面分期手术中的围手术期结局，验证其安全性、可行性及有效性。

方法

回顾性收集2018年8月至2020年8月于陆军军医大学第一附属医院妇产科行腹腔镜下内膜癌全面分期手术的535例患者临床资料，其中26例患者行经脐单孔腹腔镜手术，509例行传统多孔腹腔镜手术，进行1∶2倾向评分匹配，以最小化两组间因基线特征不平衡而产生的偏差，最终获得单孔组26例，多孔组52例。比较2组的手术时间、术中出血量、淋巴结切除数目、术后排气时间、留置引流时间、住院时间、术后疼痛评分、切口满意度评分及术中术后并发症发生情况。

结果

2组手术均顺利完成，无中转开腹。2组的术中出血量、淋巴结切除数目、术后排气时间、留置引流时间、住院时间及术中术后并发症发生率比较差异均无统计学意义。单孔组比多孔组手术时间长[(197.3±55.7)min

(164.7±62.7)min

]

，术后疼痛评分低，术后切口满意度评分高[(5.73±0.53)

(5.17±0.71)

]

，差异均有统计学意义(

＜0.05)。

结论

与传统腹腔镜相比，单孔腹腔镜治疗子宫内膜癌安全可行，具有术后疼痛轻、美容效果好等优点。

Abstract

Objective

To compare the perioperative outcomes of laparoscopic single-site surgery (LESS) versus traditional laparoscopic surgery (TLS) in the staging surgery of endometrial cancer

and to verify its safety

feasibility and effectiveness.

Methods

A total of 535 patients diagnosed with endometrial cancer and undergoing laparoscopic total staging surgery from August 2018 to August 2020 in our department were retrospectively recruited in this study. Among them

26 patients underwent LESS

and 509 received TLS.A 1∶2 propensity score matching was performed to minimize the bias due to the imbalanced baseline features between the 2 groups. Finally

26 cases in LESS group and 52 cases in TLS group were obtained. The operation time

volume of intraoperative blood loss

number of lymph nodes removed

time of postoperative exhaust

time of postoperative indwelling drainage

postoperative hospital stay

pain score of 24-hour after surgery and satisfactory with cosmetic results were analyzed and compared between the 2 groups.

Results

The operations in both groups were successfully completed without conversion to laparotomy. There were no statistical differences in the volume of intraoperative blood loss

number of lymph nodes removed

time of postoperative exhaust

time of postoperative indwelling drainage

and postoperative hospital stay between the 2 groups. Meanwhile

the LESS group has significantly longer operation time (197.3±55.7

164.7±62.7 min)

a lower pain score of 24-hour after surgery and a

more satisfactory postoperative cosmetic effect (5.73±0.53

5.17±0.71) when compared with the TLS group (

0.05).

Conclusion

Compared with TLS

LESS is safe and feasible for endometrial cancer

with advantages of less pain and good cosmetic effectiveness.

关键词

Keywords

references

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