Journal of minimally invasive gynecology · 2009
Single-port laparoscopic salpingectomy for the surgical treatment of ectopic pregnancy.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Yoon Bo Sung, Park Hyun, Seong Seok Ju, Park Chong Taik, Park Sang Won, Lee Kyung Jin
Аннотация
STUDY OBJECTIVE: To evaluate the feasibility of a single-port laparoscopic salpingectomy in the surgical treatment of tubal pregnancy.
DESIGN: Prospective cohort study (Canadian Task Force classification II-2).
SETTING: University teaching hospital
PATIENTS: Twenty women with tubal pregnancy, as determined by ultrasonography.
INTERVENTION: All patients have undergone single-port laparoscopic salpingectomy. Entry through a single port was established with a wound retractor as fascial retractor and a surgical glove, which served as the working channels for the laparoscopic equipment. A 30-degree laparoscope and a rigid or flexible grasper were used during the procedure.
MEASUREMENTS AND MAIN RESULTS: Single-port laparoscopic salpingectomy was successfully performed in all 20 patients with ectopic pregnancy. The median operative time was 55 minutes (range 25-85 minutes), and blood loss in all patients was minimal. The median difference between preoperative and postoperative hemoglobin was 1.8 g/dL (range 0-3.2 g/dL). The median postoperative hospital stay was 2 days (range 2-4 days). No complication was encountered, nor was there any need for conversion to conventional laparoscopy.
CONCLUSIONS: Single-port laparoscopic salpingectomy is feasible and promising. However, for drawing the definite conclusion of the surgical efficacy, additional investigations to compare this approach with conventional laparoscopy are needed.
DESIGN: Prospective cohort study (Canadian Task Force classification II-2).
SETTING: University teaching hospital
PATIENTS: Twenty women with tubal pregnancy, as determined by ultrasonography.
INTERVENTION: All patients have undergone single-port laparoscopic salpingectomy. Entry through a single port was established with a wound retractor as fascial retractor and a surgical glove, which served as the working channels for the laparoscopic equipment. A 30-degree laparoscope and a rigid or flexible grasper were used during the procedure.
MEASUREMENTS AND MAIN RESULTS: Single-port laparoscopic salpingectomy was successfully performed in all 20 patients with ectopic pregnancy. The median operative time was 55 minutes (range 25-85 minutes), and blood loss in all patients was minimal. The median difference between preoperative and postoperative hemoglobin was 1.8 g/dL (range 0-3.2 g/dL). The median postoperative hospital stay was 2 days (range 2-4 days). No complication was encountered, nor was there any need for conversion to conventional laparoscopy.
CONCLUSIONS: Single-port laparoscopic salpingectomy is feasible and promising. However, for drawing the definite conclusion of the surgical efficacy, additional investigations to compare this approach with conventional laparoscopy are needed.