Application of self-made single-port laparoscopy with conventional instruments in the
treatment of benign ovarian cysts during pregnancy

doi:10.3760/cma.j.issn.1007-1245.2022.02.018

International Medicine and Health Guidance News ›› 2022, Vol. 28 ›› Issue (2): 219-222.DOI: 10.3760/cma.j.issn.1007-1245.2022.02.018

• Scientific Research • Previous Articles Next Articles

Application of self-made single-port laparoscopy with conventional instruments in the treatment of benign ovarian cysts during pregnancy

Zhao Hang, Li Yuping, Wu Junjiao, Huang Xiaolan

Department of Gynecology, 73rd Army Hospital of PLA Army, Xiamen 361003, China

Received:2021-08-10 Online:2022-01-15 Published:2022-03-09
Contact: Huang Xiaolan, Email: 272021644@qq.com
Supported by:
Medical and Health Guidance Project of Xiamen (3502Z20209163)

自制通路单孔腹腔镜使用常规器械手术在治疗妊娠期卵巢良性囊肿中的应用

赵航，李玉萍，吴俊娇，黄晓兰

解放军陆军第七十三集团军医院妇科，厦门 361003

通讯作者: 黄晓兰，Email：272021644@qq.com
基金资助:
厦门市医疗卫生指导性项目（3502Z20209163）

Abstract

Abstract: Objective To study the safety and feasibility of self-made single-port laparoscopic surgery with conventional laparoscopic instruments in the treatment of benign ovarian cysts during pregnancy. Methods Ten cases of benign ovarian cysts during pregnancy in Department of Gynecology, 73rd Army Hospital of PLA Army from January 2017 to January 2020 were treated with self-made single-port laparoscopic cystectomy. The age was (28.7±3.2) years old, the body mass index (BMI) was (21.39±1.12) kg/m2 , the median cyst diameter was 11 (9-15) cm, and the gestational age was 12+2 -14+3 weeks. Conventional laparoscopic instruments were used during the operation. The operation time, intraoperative blood loss, the Visual Analogue Scale (VAS) score on the first day after the operation, postoperative hospital stay, and pregnancy outcomes were analyzed. Results All the 10 patients completed the operation successfully. There was no cyst content flowing into the abdominal cavity and no conversion to laparotomy or multi-port laparoscopic surgery. The operation time was (80.30±24.33) min, the intraoperative blood loss was (25.00±17.80) ml, and the VAS score on the first day after the operation was (1.50±0.53) points. There was 1 case of threatened abortion after the operation, pregnancy continued after fetal protection treatment, and no other intraoperative or postoperative complications occurred. All the 10 patients delivered smoothly after the operation. Conclusions Self-made single-port laparoscopic surgery with conventional instruments is safe and feasible in the treatment of benign ovarian cysts during pregnancy, with few complications. It has obvious advantages over conventional laparoscopy and laparotomy and is worth popularizing.

Key words: Self-made single-port laparoscopy, Conventional instruments, Benign ovarian cysts during pregnancy

摘要： 目的研究自制通路单孔腹腔镜手术并使用常规腹腔镜器械在治疗妊娠合并卵巢良性囊肿中的安全性及可行性。方法回顾性分析2017年1月至2020年1月在解放军陆军第七十三集团军医院妇科住院的10例妊娠期卵巢良性囊肿进行自制通路单孔腹腔镜下囊肿剥除术，年龄（28.7± 3.2）岁，体质量指数（21.39±1.12）kg/m2 ，术前彩超检查中位囊肿直径11（9～15）cm，孕周12+2 ～14+3 周，术中均使用常规腹腔镜操作器械，分析其手术时间、术中出血量、术后 1d 视觉模拟疼痛评分量表（VAS）评分、术后住院时间、妊娠结局等指标。结果 10例患者均顺利完成手术，术中无囊肿内容物流入腹腔，无中转开腹或多孔腹腔镜手术，手术时间（80.30±24.33）min，术中出血量（25.00±17.80）ml，术后1d的VAS评分为（1.50±0.53）分。术后1例出现先兆流产，给予保胎治疗后继续妊娠，无其他术中、术后并发症发生；10例患者术后均顺利分娩。结论自制通路单孔腹腔镜手术并使用常规器械，在治疗妊娠期卵巢良性囊肿安全、可行，并发症少，相对常规腹腔镜及开腹手术具有明显优势，值得普及应用。

关键词: 自制通路单孔腹腔镜, 常规器械, 妊娠期卵巢良性囊肿

Zhao Hang, Li Yuping, Wu Junjiao, Huang Xiaolan. Application of self-made single-port laparoscopy with conventional instruments in the treatment of benign ovarian cysts during pregnancy[J]. International Medicine and Health Guidance News, 2022, 28(2): 219-222.

赵航, 李玉萍, 吴俊娇, 黄晓兰. 自制通路单孔腹腔镜使用常规器械手术在治疗妊娠期卵巢良性囊肿中的应用[J]. 国际医药卫生导报, 2022, 28(2): 219-222.

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Application of self-made single-port laparoscopy with conventional instruments in the treatment of benign ovarian cysts during pregnancy

自制通路单孔腹腔镜使用常规器械手术在治疗妊娠期卵巢良性囊肿中的应用

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