Laparoendoscopic single-site surgery for deep infiltrating endometriosis based on retroperitoneal pelvic spaces anatomy: a retrospective study

作者全名："Zhang, Shoufeng; Yu, Hongxia; Dong, ZhiYong; Chen, Yao; Shan, Wulin; Zhang, Wendi; Tang, Huiming; Chen, Mengyue; Wei, Weiwei; Shi, Ruxia; Xia, Bairong; Chen, Jiming"

作者地址："[Zhang, Shoufeng; Yu, Hongxia; Zhang, Wendi; Chen, Mengyue] Dalian Med Univ, Dalian 116000, Peoples R China; [Dong, ZhiYong] Chongqing Med Univ, Dept Obstet & Gynaecol, Affiliated Hosp 2, Chongqing 400010, Peoples R China; [Chen, Yao; Shan, Wulin] Bengbu Med Coll, Bengbu 233030, Peoples R China; [Tang, Huiming; Wei, Weiwei; Shi, Ruxia; Chen, Jiming] Nanjing Med Univ, Dept Obstet & Gynecol, Affiliated Changzhou Peoples Hosp 2, Changzhou 213000, Jiangsu, Peoples R China; [Xia, Bairong] Univ Sci & Technol China, Affiliated Hosp USTC 1, Dept Gynecol, Div Life Sci & Med, Hefei 230031, Peoples R China"

通信作者："Chen, JM (通讯作者)，Nanjing Med Univ, Dept Obstet & Gynecol, Affiliated Changzhou Peoples Hosp 2, Changzhou 213000, Jiangsu, Peoples R China."

来源：SCIENTIFIC REPORTS

ESI学科分类：Multidisciplinary

WOS号：WOS:001024725000067

JCR分区：Q1

影响因子：3.8

年份：2023

卷号：13

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：　

摘要："Transumbilical single-port laparoscopy is widely used in gynecological surgery. However, it is rarely used in the treatment of deep infiltrating endometriosis due to its own shortcomings and the complex condition of deep infiltrating endometriosis. The study aims to introduce a transumbilical single-port laparoscopic surgery based on retroperitoneal pelvic spaces anatomy, which can complete the operation of deep infiltrating endometriosis more easily. A retrospective analysis of 63 patients with deep infiltrating endometriosis treated by transumbilical single-port laparoscopy using this method was conducted. The operation duration was 120.00 (85.00 & PLUSMN; 170.00) (35-405) min, the estimated blood loss was 68.41 & PLUSMN; 39.35 ml, the postoperative hospital stay was 5.00 (4.00-6.00) days, and the incidence of postoperative complications was 4.76% (3/63). 1 patient was found to have intestinal injury during operation, 1 patient had ureteral injury after operation, and 1 patient had postoperative pelvic infection, with a recurrence rate of 9.52%. The postoperative scar score was 3.00 (3.00-4.00) and the postoperative satisfaction score was 9.00 (8.00-10.00). In summary, this study demonstrates the feasibility of transumbilical single-port laparoscopic surgery for deep infiltrating endometriosis based on retroperitoneal pelvic spaces anatomy. Hysterectomy, adenomyosis resection, etc. are also feasible with this method, boasting more obvious advantages. This method can make transumbilical single-port laparoscopy more widely used in deep infiltrating endometriosis."

基金机构：Changzhou High-Level Medical Talents Training Project [2022CZBJ074]; maternal and child health key talent project of Jiangsu Province [RC202101]; maternal and child health research project of Jiangsu Province [F202138]; Scientific Research Support Program for Postdoctoral of Jiangsu Province [2019K064]; Scientific Research Support Program for "333 Project" of Jiangsu Province [BRA2019161]

基金资助正文："This work was supported by grants from Changzhou High-Level Medical Talents Training Project (2022CZBJ074), the maternal and child health key talent project of Jiangsu Province (RC202101), the maternal and child health research project of Jiangsu Province (F202138), the Scientific Research Support Program for Postdoctoral of Jiangsu Province (2019K064), and the Scientific Research Support Program for ""333 Project"" of Jiangsu Province (BRA2019161)"