2017 2 10 1 Chin J Laparoscopic Surgery Electronic Edition February 2017Vol.10No.1 1 2014 12 23 LESS laparoendoscopic single site surgery LESS LESS LESS LESS 2014 13 LESS LESS 2015 14 LESS 30 25 12 ~ 16 467 g LESS natural LESS 1 1969 Wheeless orifice transluminal endoscopic surgery NOTES 1 cm 3 600 LESS LESS LESS 2 E-NOTESNOTES 1981 Tarasconi 3 2005 Ghezzi 4 1991 Pelosi Rd 5 E-NOTES transumbilical laparoendoscopic single-site TU-LSSS Trocar 2009 LESS 2009 White TU-LSSS 2012 single incision laparoscopic surgery Fanfani 6 LESS SILS single-site laparoscopic SSL single port access LESS surgery SPA single access surgery 7 1981 SAS one port umbilical surgery TU-LSSS 74 OPUS transumbilicalendoscopic 8-9 TU-LSSS surgery TUES NOTUS TU-LSSS 2011 10 TU-LSSS 2014 11 LESS laparoendoscopic single site surgery LESS 2008 DOI10. 3877 /cma. j. issn. 1674-6899. 2017. 01. 001 100730 Emailsundw1118@ aliyun. com laparoscopic endoscopic single site surgery consortium for assment and research LESSCAR LESS
2 2017 2 10 1 Chin J Laparoscopic Surgery Electronic Edition February 2017Vol.10No.1 natural orifice surgery consortium for assessment and research NOSCAR 2010 8 4 5 LESS transumbilical laparoendoscopic single site surgery TU-LESS TU-LESS 2. 1 LESS 2 2009 Fader Escobar 15 1 LESS LESS LESS 2011 16 LESS LESS LESS 1 2 17 3 4LESS 1 5 2 6 3 4 1. 2. 5 cm 1 1 2 5 6 3 7 4 3 2012 5 18 2014 19 2 27 19-20 5 cm 2014 2 3 QuadPort TM 5 cm 3D LESS J 13 1 200 ml 20% 2 3. 4. 3
2017 2 10 1 Chin J Laparoscopic Surgery Electronic Edition February 2017Vol.10No.1 3 5. 6. 1 ml 2 min 1 LESS 2Ω LESS LESS 3Y 0. 8 cm 120 LESS 5 cm 3 500 g 21 868 g LESS 10 1 2 22 3LESS TriPort TM / LESS QuadPort TM X-cone/EndoCone/S-Port SILSTMPort GelPort Hangt Port 25-29 1. TriPort TM /QuadPort TM 1 LESS 2 3 LESS 4 5 25 2. X-cone /EndoCone /S-Port1 23-24 8 2 3 4 5 26 3. SILSTMPort 1 3 1 2 3 4 2 5 27 3 4. GelPort 1 4 2 3 4 4 5 GelSeal 28 5. Hangt Port 1 2 3 4 5
4 2017 2 10 1 Chin J Laparoscopic Surgery Electronic Edition February 2017Vol.10No.1 29 1 LESS 2 V-LOC 90 10 mm 0 30 3 0 1 20 cm LESS 3 30 4Endo stitch TM 10 mm 5 mm 30 EndoCAMeonRHOPKINS LTP TYPE VP LTP-S190-5 LESS 5 LESS LESS 1. Trocars LESS 1 1 2 2 3 2. Trocar 4 1 2 3 5 mm 5 4 5 Trocars 6 7 8
2017 2 10 1 Chin J Laparoscopic Surgery Electronic Edition February 2017Vol.10No.1 5 9 3. LESS 1 5 mm 30 1. J /CD. 201254 1-4. 2 5 mm 2 Jr WC. A rapid inexpensive and effective method of surgical sterilization by laparoscopy J. Journal of Reproductive Medicine 4. 196935 65-69. 3 Tarasconi JC. Endoscopic salpingectomy J. Journal of 1 Reproductive Medicine19812610541-545. 4 Ghezzi FCromi AFasola Met al. One-trocar salpingectomy for the treatment of tubal pregnancya marionette-like technique 2 3 J. Bjog An International Journal of Obstetrics & Gynaecology 4 2005112101417-1419. 5 Pelosi MARd PM. Laparoscopic appendectomy using a single LESS Medicine1992377 588-594. LESS endometrial cancera pilot study J LESS 261 41-65. 7 J. 1981 32 8. 8 J. 2008234 353-354. 9 J. 2009185 396-397. LESS 1 10 LESS 2011165 337-338. 11 2 J LESS 3 176-178. 12 J. 2014 287-288. 13 J /CD 1 10-13. 14 J /CD. 2015 85 30 10 1 Gynecologic Oncology20091142 157. laparoscopic endoscopic single site surgery consortium for assment and research LESSCAR J. 2011 319 1619-1621. 4 1 2 3 4 LESS Access Surgery2016124 360-365. LESS LESS LESS 20122076 1-28. umbilical puncture minilaparoscopy J. Journal of Reproductive 6 Fanfani FRossitto CGagliardi MLet al. Total laparoendoscopic single-site surgery LESS hysterectomy in low-risk early. Surgical endoscopy2012. 74... J... 201449. 23.. 2014 7. 309-311. 15 Fader ANEscobar PF. Laparoendoscopic single-site surgery LESSin gynecologic oncologytechnique and initial report J. 16. 17 Corrado GCutillo GPomati Get al. Single-access laparoscopic approach in the surgical treatment of endometrial cancera singleinstitution experience and review of literature J. Journal of Minimal 18 Garrett LA. Laparoendoscopic single-site radical hysterectomythe first report of LESS type III hysterectomy involves a woman with cervical cancer J. American Journal of Obstetrics & Gynecology
6 2017 2 10 1 Chin J Laparoscopic Surgery Electronic Edition February 2017Vol.10No.1 19 FagottiAGhezzi FBoruta DMet al. Minilaparoscopic radical hysterectomy mlps-rh vs laparoendoscopic single-site radical hysterectomy LESS-RH in early stage cervical cancer a multicenter retrospective study J. Journal of Minimally Invasive Gynecology2014216 1005-1009. 20 Boruta DMFagotti ABradford LSet al. Laparoendoscopic singlesite radical hysterectomy with pelvic lymphadenectomyinitial multiinstitutional experience for treatment of invasive cervical cancer J. Journal of Minimally Invasive Gynecology2014213 394-398. 21 Lee YYKim TJKim CJet al. Single-port access laparoscopicassisted vaginal hysterectomya novel method with a wound retractor and a glove J. Journal of Minimally Invasive Gynecology2009 164 450-453. 22 Song TLee YKim MLet al. Single-port access total laparoscopic hysterectomy for large uterus J. Gynecologic & Obstetric Investigation2012751 16-20. 23 Autorino RBrandao LFSankari Bet al. Laparoendoscopic single-site LESS vs laparoscopic living-donor nephrectomya systematic review and meta-analysis J. Bju International2015 1152 206-215. 24 Kim TJShin SJKim THet al. Multi-Institutionprospective randomized trial to compare the success rates of single-port versus multi-port laparoscopic hysterectomy for the treatment of uterine myoma or adenomyosis J. Journal of Minimally Invasive Gynecology2015225 785-791. 25 Uppal SFrumovitz MEscobar Pet al. Laparo-endoscopic singlesite surgery in gynecology-a review of the literature and available technology J. Journal of Minimally Invasive Gynecology 201118 1 12-23. 26 Tsai AYSelzer DJ. Single-port laparoscopic surgery J. Advances in Surgery2010441 1-27. 27. J. 201115254669-4674. 28 Sobolewski CJr YPHart S. Laparoendoscopic single-site surgery in gynecology J. Obstetrics & Gynecology Clinics of North America2011384 741-755. 29 Rettenmaier MAAbaid LNErwin MRet al. A retrospective review of the gelport system in single-port access pelvic surgery J. Journal of Minimally Invasive Gynecology2009166 743-747. 30. M. 2015111. 2017-01-19. J /CD. 2017 101 1-6.