Minilaparoscopic single-site bilateral salpingo-oophorectomy: a scarless prophylactic procedure
Minilaparoscopic single-site bilateral salpingo-oophorectomy: a scarless prophylactic procedure
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DOI：
10.1080/13645706.2020.1790391
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发表时间：
2020-07-14
影响因子：
1.7
通讯作者：
Ghezzi, Fabio
中科院分区：
文献类型：
--
作者：
Casarin, Jvan;Lagana, Antonio Simone;Ghezzi, Fabio
我们提出了第一例小腹腔镜单部位双侧输卵管卵巢切除术（BSO）作为降低风险的程序在39岁的女性表现为BRCA-1突变。手术仅使用微型腹腔镜器械，通过两个相邻放置的3毫米脐带套管交替插入。BSO手术后，通过阴道后穹窿将标本放入内袋中取出。无术中、术后并发症发生。病人在手术当天出院回家。术后30天临床评价无大变化。在选定的患者中，小腹腔镜单部位入路可能是一种替代技术，可以最大限度地减少手术创伤和降低风险BSO患者的发病率。
We present the first case of minilaparoscopic single-site bilateral salpingo-oophorectomy (BSO) performed as a risk-reducing procedure in a 39-year-old woman presenting with BRCA-1 mutation. Surgery was performed using only minilaparoscopic instruments inserted alternatively through two 3-mm umbilical trocars placed one next to the other. Following the BSO, specimens were retrieved within an endobag through the posterior vaginal fornix. No intraoperative or postoperative complications occurred. The patient was discharged home on the day of surgery. Thirty-day postoperative clinical evaluation was uneventful. In selected patients, the minilaparoscopic single-site approach might represent an alternative technique to minimize surgical trauma and morbidity in patients undergoing risk-reducing BSO.