探讨经脐单孔腹腔镜子宫切除术的安全性及可行性。

回顾性分析广西壮族自治区人民医院妇科自2013年1月至2017年2月实施经脐单孔腹腔镜子宫切除术100例临床资料。在脐部做单一切口并置入转换平台，以传统腹腔镜器械配合可弯曲单孔腹腔镜器械，采用能量闭合器械完成。

100例患者的手术均获成功。无一例中转开腹，均无术中、术后严重并发症。子宫体积大小(51.46 ± 12.39)cm³，手术时间(98.91 ± 18.97)min，术中出血量(65.00 ± 21.75)ml，术后住院时间(7.57 ± 0.98)d，术后疼痛视觉模拟评分(1.41±0.27)分，术后肛门排气时间(44.00 ± 9.34)h。术后3个月随访，100例患者均无远期并发症，阴道残端愈合良好，大小便无明显异常。脐部切口愈合良好，腹部无明显的切口瘢痕。

单孔腹腔镜子宫全切除术安全、有效，可在妇科手术领域中推广。

To explore the safety and feasibility of laparoendoscopic hysterectomy via transumbilical Single-port .

100 patients with benign disease of gynaecology were treated with laparoendoscopic hysterectomy via transumbilical Single-port in the People′s Hospital of Guangxi Zhuang Autonomous Region from Jan. 2013 to Feb. 2017. A single incision was done in navel and an inserting transition platform was applied in combination of using the traditional laparoscopic instruments and the flexible single-arch laparoscopic instruments.

All the operations were successfully. Perfomed without postoperative complications and without operative deaths.The average size of uterus was (51.46 ± 12.39) cm³ and the operation time was (98.91 ± 18.97) min.The intraoperative blood loss was (65.00 ± 21.75 mm) and the hospitalization stay was (7.57 ± 0.98) days. The average of the postoperative pain visual analogue scale (VAS) was(1.41 ± 0.27) and the postoperative anal exhausting time was (44.00 ± 9.34) h. Total patients had no long-term complications after a postoperative follow-up of 3 months.Their cretory functions were normal.The navel incision and vaginal stump healed well, without obvious scars.

Laparoendoscopic hysterectomy via transumbilical Single-port is a safe, feasible and effective method for gynecologic surgery.