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目的探讨手助腹腔镜在妇科手术中的应用。方法回顾性分析北京协和医院2003-04-2005-07间23例手助腹腔镜的治疗经验。对实施手助腹腔镜的各种情况如疾病种类、手术适应证、术中出血情况、手术时间、术后恢复与近期与远期并发症等进行分析。结果23例盆腔严重粘连患者,22例成功完成手术,1例改为开腹手术。术中平均出血量(63·2±45.3)mL,手术时间(89.1±25.6)min,术中、术后均无严重并发症发生。术后患者疼痛轻微,恢复快,术后平均住院时间为(4.1±1.7)d。术后随诊3~30个月,无远期并发症发生。结论运用手助腹腔镜技术可以综合开腹手术和腹腔镜手术的优势,达到微创的目的。
Objective To explore the application of hand-assisted laparoscopy in gynecological surgery. Methods Retrospective analysis of Beijing Union Medical College Hospital 2003-04-2005-07 23 cases of hand assisted laparoscopic treatment experience. On the implementation of hand-assisted laparoscopic various conditions such as the type of disease, surgical indications, intraoperative bleeding, operation time, postoperative recovery and short-term and long-term complications were analyzed. Results Twenty-three patients with severe pelvic adhesions completed the surgery successfully and one patient underwent open surgery. The mean intraoperative blood loss was (63 · 2 ± 45.3) mL and the operation time was (89.1 ± 25.6) min. No serious complications occurred during and after operation. Postoperative patients with mild pain, rapid recovery, the average postoperative hospital stay was (4.1 ± 1.7) d. Follow-up postoperative 3 to 30 months, no long-term complications. Conclusion The hand-assisted laparoscopy can combine the advantages of open surgery and laparoscopic surgery to achieve the purpose of minimally invasive surgery.