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肥胖对妇科腹腔镜插入时间的影响使用开放技术:一项回顾性研究

Yutoku Shi¹, Mia Maeda¹, Sachiyo Sugino¹

¹Obstetrics and Gynecology, Kobe City Medical Center West Hospital, Kobe, JPN.

|February 19, 2026

概括

在使用开放式 (Hasson) 技术的妇科腹腔镜手术中,肥胖并没有显著延长初级三角管插入时间. 肥胖患者的腹壁较厚,但这并没有增加技术难度,这表明微创入口的可行性.

科学领域:

妇科外科手术妇科外科
最少侵入性手术的方法
外科手术的结果

背景情况:

在良性妇科卵巢瘤中,腹腔镜手术是常见的.
肥胖会在腹腔镜手术中带来挑战,因为腹壁厚度增加.

研究的目的:

评估肥胖是否影响妇科腹腔镜外科手术中初级三角管插入时间和术后结果.
评估身体质量指数 (BMI) 和腹腔镜进入困难之间的关系.

主要方法:

对85名患者 (体重正常或肥胖) 的回顾性队列研究,这些患者因良性附瘤接受了腹腔镜手术.
主要结局:初级三角骨插入的时间. 二次结果:伤口关闭,组织厚度,并发症率.
统计分析包括斯皮尔曼的等级相关性和混合效应线性模型.

主要成果:

肥胖患者的皮下脂肪和壁显著加厚.
在肥胖患者中,初级三角骨插入时间显示了对更长时间的非显著趋势 (p=0.06).
在正常体重和肥胖群体之间,并发症率没有显著差异 (10.8%对20%,p=0.28).

结论:

在肥胖患者中,使用开放技术进行腹腔镜检查是可行的,而不会显著延长初级三角管插入时间.
肥胖患者的腹壁厚度增加并没有明显增加外科医生因素时的技术难度.
在精选的肥胖患者中,微创治疗似乎是可以实现的,这强调了标准化技术和手术前评估的必要性.

关键词:

腹腔镜外科手术腹腔镜外科手术肥胖肥胖肥胖肥胖肥胖肥胖肥胖肥胖皮下脂肪组织的厚度.托洛卡插入插入伤口关闭时间

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