适用于中低收入国家或基层医院的简易无气腹单孔腹腔镜。

IF 1.2 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Xiaoying Wang, Yan Li
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引用次数: 0

摘要

目的:探讨改良悬液法联合无气单孔腹腔镜(MS-GSPL)治疗卵巢良性肿瘤的疗效。这种方法的目的是提供一种方便、经济和微创的方法,适合广泛使用,甚至在中低收入国家或初级医院。材料与方法:回顾性分析2019年1月至2019年12月因卵巢良性肿瘤行腹腔镜单侧卵巢膀胱切除术的患者。36例采用MS-GSPL, 36例采用单孔腹腔镜(SPL)。回顾和比较患者的病历、围手术期手术结果、术后疼痛评分和并发症。结果:MS-GSPL组与SPL组在年龄、体重指数、既往盆腔手术、肿瘤直径、肿瘤病理结局等方面无显著差异。MS-GSPL组的中位手术时间为50 (Q1~Q3, 44~62.25) min, SPL组的中位手术时间为60.5 (Q1~Q3, 57.25~78) min,差异有统计学意义。MS-GSPL组估测失血量中位数为40 (Q1~Q3, 30~50) mL, SPL组估测失血量中位数为50(Q1~Q3, 30~60) mL,两者差异无统计学意义。与SPL组比较,MS-GSPL组患者术后排气时间早、住院时间短、费用低,差异均有统计学意义(p < 0.05)。MS-GSPL组手术时间与BMI呈正相关。结论:经MS-GSPL治疗的患者术后恢复快。MS-GSPL是一种新颖、安全、经济的手术方法,适合在中低收入国家或基层医院广泛开展临床开发。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A simple gasless single-port laparoscopy suitable for use in middle- and low-income countries or primary hospitals.

Objectives: The purpose of the present study is to explore the effectiveness of a modified suspension method combined with gasless single-port laparoscopy (MS-GSPL) for the treatment of benign ovarian tumors. The aim of this approach is to provide a convenient, economical, and minimally invasive method that is suitable for widespread use, even in middle- and low-income countries or primary hospitals.

Material and methods: Retrospective analysis of patients who underwent laparoscopic unilateral ovarian cystectomy due to benign ovarian tumors from January 2019 to December 2019.Thirty-six cases were treated with MS-GSPL, and 36 cases were treated with single-port laparoscopy (SPL). The patients' medical records, perioperative surgical outcomes, postoperative pain scores and complications were reviewed and compared.

Results: There are no significant differences in age, body mass index, previous pelvic surgery, tumor diameter, and tumor pathologic outcomes between MS-GSPL group and SPL group. The median operation times were 50 (Q1~Q3, 44~62.25) min in the MS-GSPL group and 60.5 (Q1~Q3, 57.25~78) min in the SPL group with a significant difference. The median estimated blood loss was 40 (Q1~Q3, 30~50) mL in the MS-GSPL group and 50(Q1~Q3, 30~60) mL in the SPL group with no significant difference. Compared with SPL group, patients in MS-GSPL group had earlier postoperative exhaust times, shorter hospital stays and lower costs, and all these differences were statistically significant (p < 0.05). There was a strong positive correlation between operation time and BMI in the MS-GSPL groups.

Conclusions: The patients receiving MS-GSPL treatment have quick postoperative recoveries. MS-GSPL is a novel, safe and economical surgical method that is suitable for extensive clinical development in middle- and low-income countries or primary hospitals.

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来源期刊
Ginekologia polska
Ginekologia polska OBSTETRICS & GYNECOLOGY-
CiteScore
2.00
自引率
15.40%
发文量
317
审稿时长
4-8 weeks
期刊介绍: Ginekologia Polska’ is a monthly medical journal published in Polish and English language. ‘Ginekologia Polska’ will accept submissions relating to any aspect of gynaecology, obstetrics and areas directly related. ‘Ginekologia Polska’ publishes original contributions, comparative works, case studies, letters to the editor and many other categories of articles.
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