| 摘要: |
| ［摘要］ 近年来随着微创外科的发展，单孔腹腔镜技术在临床得以广泛应用。从多孔腹腔镜到单孔腹腔镜，最主要的变革是入路平台（port）的变化。从传统的trocar到单孔腹腔镜port，其基本功能器械通道和气体通道两大方面未发生改变。由于单孔腹腔镜操作模式的变化，对port提出了新的要求。此外，目前可供选择的单孔腹腔镜port较多，如何选择适合的port常常困扰手术医师。该文在临床实践及体外实验的基础上，总结了单孔腹腔镜port需具备的特点及需满足的临床要求，为单孔腹腔镜的推广提供理论基础及技术指导。 |
| 关键词: 单孔腹腔镜 入路平台 器械通道 气体通道 |
| DOI：10.3969/j.issn.1674-3806.2020.08.05 |
| 分类号:R 656 |
| 基金项目: |
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| The theory and clinical practice of the port in single-port laparoscopic surgery |
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GONG Yao, LIU Juan
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Department of Gynecology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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| Abstract: |
| ［Abstract］ With the development of minimally invasive surgery in recent years, single-port laparoscopic technique has been widely used in clinical practice.From multi-port laparoscopy to single-port laparoscopy, the most important change is the change of the port. From traditional trocar to single-port laparoscopic port, the basic function, namely the instrument access and gas access has not changed. Because of the change of single-port laparoscopic operation mode, new requirements for the ports are raised.In addition, there are many commercial ports available in market, which confused the surgeons in selection. On the basis of clinical practice and in vitro experiments, this paper summarizes the characteristics and clinical requirements for the port of single-port laparoscopic surgery, and provides theoretical basis and technical guidance for the promotion of single-port laparoscopic surgery. |
| Key words: Single-port laparoscopy Port Instrument access Gas access |
