배꼽 단일 공을 통한 복강경하 전자궁절제술
Transumbilical single port total laparoscopic hysterectomy
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초록
복강경하 전자궁절제술은 자궁절제술을 시행해야 하는 환자에서 표준 수술 방법으로 현재 고려되고 있다. 최근 절개에 따르는 부작용을 줄이고 미용 효과를 극대화 하기 위한 수술들이 다양하게 시도되고 있는 상황에서 저자들은 기존의 복강경 도구를 이용해 흉터 없는 배꼽 단일 공을 통한 전자궁절제술을 시행하였다. Alexis wound retractor (Applied Medical, CA, USA)와 수술장갑을 이용한 “single three-channel port” 개념을 도입하였으며 단일 공을 통한 효과적인 질띠 봉합술을 제시하고자 하였다. 이에 single three-channel port를 이용한 전자궁절제술을 시행한 4예에 대한 저자들의 초기 경험을 보고하고자 한다.
Abstract
Laparoscopic hysterectomy is currently considered the standard procedure in many patients who need hysterectomy. To reduce incisional morbidity and improve cosmetic outcomes we performed transumbilical single-port total laparoscopic hysterectomy using a special “single three-channel port” and standard laparoscopic tools with virtually no scar. We used an Alexis wound retractor (Applied Medical, CA, USA) and a surgical glove as the “single three-channel port”. In this paper, we report four cases of total laparoscopic hysterectomy performed exclusively through an umbilical incision using a single three-channel port.
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