Objective Feasibility and advantages and disadvantages of single hole laparoscopic operation and traditional laparoscopic operation in gynecologic benign lesions.Methods 70 patients in our hospital from 2011 to 2013 were single hole laparoscopic gynecologic operation and 140 cases of the same routine traditional laparoscopic operation were compared, respectively, into the treatment group and the observation group. The operation of a longitudinal incision in the navel for patients with intermediate single hole laparoscopic surgery, insert the puncture cannula through the puncture, establishment of pneumoperitoneum for patients, the pressure is maintained at 12-13 mm Hg. 3 channel trocar insertion surgery abdominal probe and the operation of equipment, operation and conventional laparoscopic surgery in the same.Results All patients were successfully, the treatment group long operation time with the control group, significant difference(P<0.05); postoperative complications. Within six months of follow-up, there was no wound complication such as infection, bleeding and postoperativeincisional hernia.Conclusion The single hole laparoscopic surgery in the primary stage, with a certain degree of difficulty, long time of operation are also expected. For patients with single hole laparoscopic can reduce the surface of wound, the wound is safe and feasible, very good cosmetic effect.%目的：研究在妇科良性病变中进行单孔腹腔镜手术与传统腹腔镜手术的可行性及优缺点。方法将我院自2011年~2013年收治的70例进行单孔腹腔镜妇科手术与同期140例进行常规传统腹腔镜手术进行比较，分别为治疗组与对照组。单孔腹腔镜手术时在患者的脐轮中间操作一个纵向的切口，通过穿刺插入穿刺套管，为患者建立气腹，压力维持在12~13 mm Hg。穿刺套管的3个孔道插入腹腔探头及操作器械中进行手术，手术中操作与传统腹腔镜手术相同。结果所有患者手术均成功，治疗组的手术时间较长与对照组差异显著（P<0.05）；术中及术后未发生并发症。半年内进行随访，均未出现切口疝、出血及手术后伤口感染等并发症。结论目前单孔腹腔镜处于初级阶段，进行手术具有一定的难度，手术时间延长也在预料之中。对患者进行单孔腹腔镜可以降低体表创伤，安全可行，伤口美容效果很好。
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