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经脐单孔腹腔镜手术(LESS)是新近出现的一种微创技术革新,符合经自然腔道内镜手术(NOTES)的理念,近年来,单孔腹腔镜技术在妇科手术中得到空前发展,大大推动了妇科手术理念和技术的进步。国内妇科单孔腹腔镜技术的应用与国外基本同步,近年来也取得很大进展,逐渐被应用于妇科各类手术,取得了一些值得回顾总结的初步经验和进步。本文从妇科单孔腹腔镜手术国内外应用现状、发展限制和解决方法、发展前景等方面对其进行综述,以利于进一步指导临床实践,推动妇科发展,使广大患者从中获益。
Single-hole transthoracic laminectomy (LESS) is a newly introduced minimally invasive technique that conforms to the concept of natural intraoral endoscopic surgery (NOTES). In recent years, single-hole laparoscopy has gained unprecedented development in gynecological surgery , Greatly promoted the concept of gynecological surgery and technological progress. The application of single-hole gynecological laparoscopic gynecology in China is basically synchronized with that in other countries. In recent years, great progress has been made in gynecological single-hole laparoscopy. It has been gradually applied to various types of gynecological surgery and some initial experiences and advances worthy of review and summary have been obtained. This article summarizes the current situation, limitations and solutions of gynecological single-hole laparoscopic surgery at home and abroad, its development prospects in order to facilitate further clinical practice, promote the development of gynecology, so that patients benefit from it.