LESS-OPEN理念创新及其在卵巢囊肿剥除中的应用和展望

王延洲; 谭文唯

doi:10.16016/j.2097-0927.202405092

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LESS-OPEN理念创新及其在卵巢囊肿剥除中的应用和展望

专家述评 | 更新时间：2026-01-09

- LESS-OPEN理念创新及其在卵巢囊肿剥除中的应用和展望
- Innovation of LESS-OPEN concept and its application and prospect in ovarian cystectomy
- 陆军军医大学学报 2024年46卷第19期页码：2165-2170
- 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：
  
  [王延洲，博士，教授，博士研究生导师，陆军军医大学(第三军医大学)第一附属医院妇产科副主任，妇科主任。美国贝勒医学院访问学者，重庆市中青年医学高端人才。承担国家重点研发计划等国家及省部级课题5项。以第一/通讯作者在The Lancet Oncology、Int J Surg、Adv Sci等杂志上发表Sci论文17篇，获国家发明专利3件。担任中国医师协会微无创医学专业委员会委员、中华医学会妇科肿瘤学组青年委员、重庆市医学会妇产科分会副主任委员，中国医药教育协会妇科肿瘤专业委员会副主任委员。美国腔镜学会(AAGL)会员。《中国计划生育和妇产科》《现代妇产科进展》《中国妇产科临床杂志》编委。擅长单孔腹腔镜及vNOTES下妇科肿瘤微创治疗，创建“筷子法”单孔腹腔镜手术技巧，率先在国际上报道了“vNOTES腹膜外子宫骶骨固定术”、“vNOTES盆腔前哨淋巴结切除术”等多个手术技术。曾三次蝉联全国妇科腔镜手术大赛第一名。目前已经完成20余种、3000余例妇科单孔腹腔镜手术，300余例vNOTES手术。研究成果被NCCN(美国国立综合癌症网络)指南引用，指导全球妇科临床实践。参编《牛津妇产科学》《Approaches to Hysterectomy》《妇科肿瘤腹腔镜手术学》《经阴道自然腔道取标本手术学》《经阴道腹腔镜手术的探索与实践》《妇科手术加速康复外科的实践》《单孔腹腔镜手术应用实践》等书籍。主要从事妇科肿瘤的基础与临床研究。E-mail：w.y.z@foxmail.com WANG Yanzhou, E-mail: w.y.z@foxmail.com
- 基金信息：
  
  重庆市技术创新与应用发展专项重点项目(CSTB2022TIAD-KPX0154)
- DOI：10.16016/j.2097-0927.202405092
  中图分类号： R711.75;R713.6
- 收稿：2024-05-27，
  
  修回：2024-07-11，
  
  纸质出版：2024-10-15
- 稿件说明：
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王延洲, 谭文唯. LESS-OPEN理念创新及其在卵巢囊肿剥除中的应用和展望[J]. 陆军军医大学学报, 2024,46(19):2165-2170.

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.
王延洲, 谭文唯. LESS-OPEN理念创新及其在卵巢囊肿剥除中的应用和展望[J]. 陆军军医大学学报, 2024,46(19):2165-2170. DOI： 10.16016/j.2097-0927.202405092.

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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