Volume 19 Issue 3
Mar.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(3): 371-374
JIA Xiao-ping, ZHOU Jing, WANG Hui. linical analysis of 16 cases of large benign adnexal mass treated by transumbilical laparoendosopic single-site surgery[J]. Chinese Journal of General Practice, 2021, 19(3): 371-374. doi: 10.16766/j.cnki.issn.1674-4152.001813
Citation: JIA Xiao-ping, ZHOU Jing, WANG Hui. linical analysis of 16 cases of large benign adnexal mass treated by transumbilical laparoendosopic single-site surgery[J]. Chinese Journal of General Practice, 2021, 19(3): 371-374. doi: 10.16766/j.cnki.issn.1674-4152.001813
shu

linical analysis of 16 cases of large benign adnexal mass treated by transumbilical laparoendosopic single-site surgery

doi: 10.16766/j.cnki.issn.1674-4152.001813
  • 1.

    Graduate School, Xinjiang Medical University, Urumqi, Xinjiang 830054, China

Funds:

 2019D01A09

 YK2018-9

  • Received Date: 2020-03-03
    Available Online: 2022-02-19
    Abstract
  •   Objective  To explore the clinical effect of transumbilical laparoendosopic single-site surgery with self-made approach in the treatment of large adnexal begin mass.   Methods   Total 16 cases of large adnexal begin mass operation with transumbilical laparoendosopic single-site were successfully carried out by Gynecological Department of Central Hospital in Karamay City from February 2017 to September 2019. All cases were performed with homemade approach and conventional laparoscopic instruments. The maximum diameter of the mass ranged from 12 to 35 cm, including 6 mature teratomas, 4 benign ovarian serous tumors, 2 benign ovarian mucinous tumor, 2 simple ovarian cysts, 1 mesosalpinx cyst and 1 hydrosalpinx. The mean age of the patients was (41.9±19.1) years, and the mean body mass index (BMI) was (22.0±3.2). There were 4 cases of pelvic and abdominal cavity operation history and 6 cases of pelvic and abdominal cavity adhesion, but no dense intestinal adhesion was found in all patients.   Results   The average diameter of the mass was (18.0±6.1) cm, the average operation time was (47.6±13.0) min, the intraoperative blood loss was (17.4±11.1) mL, the first postoperative exhaust time was (7.4±2.2) h, the first postoperative ambulation time was (6.2±0.7) h, the pain visual analogue scale (VAS) was (0.9±0.4) min, and the postoperative hospital stay was (2.2±0.4) d. There were no complications in 16 cases and after surgery. Follow-up of 3 to 6 months, the umbilical incision healed well and the patient's satisfaction was high.   Conclusion   The transumbilical laparoendosopic single-site surgery with self-made approach is suitable for the operation of large adnexal begin mass. It can fully reflect the advantages of transumbilical laparoendosopic single-site surgery, which is worth popularizing in clinical practice.

     

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