Application Progress of Transumbilical Single-Port Laparoscopic Surgery for Myomectomy
Department of Gynecology, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China
| Abstract: | Uterine fibroids are the most common gynecological benign tumors in women during reproductive period, which often lead to anemia, abortion, infertility, and seriously affect the physical and mental health of patients. At present, the treatment of uterine fibroids includes conservative observation, drug therapy and surgical treatment. For patients with uterine preservation needs, laparoscopic myomectomy is currently the preferred surgical method for uterine fibroid preservation. In recent years, with the development of minimally invasive technology, transumbilical single-site surgery (TU-LESS) has been widely used in gynecological minimally invasive surgery. Compared with traditional laparoscopic surgery, TU-LESS can not only ensure the operation effect, but also has the advantages of less trauma, faster recovery and no trace after operation, especially suitable for female patients; However, due to the problems of limited visual field, "chopstick effect", difficulty in forming "operation triangle", difficulty in suturing and tumor extraction, the application of TU-LESS in myomectomy is relatively backward, and there are still many surgical difficulties to be overcome in the process of operation, which requires a certain learning curve to master the surgical skills. With the continuous practice and exploration, the application of transumbilical single-port laparoscopic myomectomy (SPLM) will become more and more mature with the summary of operation skills and the invention of special instruments. This article reviews the application progress of transumbilical single-port laparoscopy in myomectomy and the key points and difficulties in learning this operation. |
| Keywords: | Transumblical Single-Port Laparoendoscopic Surgery; Laparoscopic Surgery; Myomectomy; Learning Curve |
| DOI: | 10.57237/j.mrf.2022.01.003 |
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Received: 30 September 2022
Accepted: 11 November 2022
Published Online: 1 December 2022
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