腹腔镜下未包裹的力学碎肉术在宫腔镜肌瘤切除术中可能会在腹腔内传播组织碎片或恶性细胞。最近，各种被包裹的力学碎肉方法已被采用来检索标本。但是，每种方法都有自己的缺点。腹腔袋包裹的力学碎肉采用复杂的隔离系统，延长了手术时间并增加了医疗费用。通过阴道切口或腹腔镜小切口进行被包裹的手动碎肉会增加创伤和感染的风险。在单孔腹腔镜宫腔镜肌瘤切除术期间通过脐部切口进行被包裹的手动碎肉可能是最小侵入和美容的方法。但单孔腹腔镜的普及面临着技术困难和高昂的成本挑战。因此，我们开发了一种外科技术，使用两个脐部切口（5毫米和10毫米），这些切口合并成一个大的脐部切口（25-30毫米），用于标本检索期间的被包裹的手动碎肉，以及一个在左下腹部的5毫米切口用于辅助器械。正如视频所展示的，这种技术显著地促进了使用传统腹腔镜器械进行手术操作，同时仍然保持了切口的最小化。它还具有经济性，因为避免了昂贵的单孔平台和特殊的外科器械的使用。总之，合并双脐部切口进行被包裹的碎肉为腹腔镜标本检索添加了一种最小侵入、美容和经济的选择，这将丰富妇科医生的技能，特别是在低资源环境下。版权所有©2023 Elsevier Inc。

Uncontained power morcellation during laparoscopic myomectomy may spread tissue fragments or malignant cells in the abdominal cavity. Recently, various approaches to contained morcellation have been taken to retrieve the specimen. However, each of these methods has its own drawbacks. Intra-abdominal bag-contained power morcellation adopts a complex isolation system which prolongs the operation and increases medical costs. Contained manual morcellation via colpotomy or mini-laparotomy increases the trauma and the risk of infection. Contained manual morcellation via umbilical incision during single-port laparoscopic myomectomy may be the most minimally invasive and cosmetic approach. But the popularization of single-port laparoscopy is challenging because of technical difficulties and high costs. We have therefore developed a surgical technique using two umbilical port-incisions (5mm and 10mm), which are merged into one large umbilical incision (25-30mm) for contained manual morcellation during specimen retrieval, and one 5mm incision in the lower left abdomen for an ancillary instrument. As demonstrated in the video, this technique significantly facilitates surgical manipulation using conventional laparoscopic instruments while still keeping the incisions minimal. It is also economical because the use of an expensive single-port platform and special surgical instruments is avoided. In conclusion, the merging of dual umbilical port-incisions for contained morcellation adds a minimally invasive, cosmetic, and economical option to laparoscopic specimen retrieval that would enrich a gynecologist's skill set, which is particularly relevant in low-resource settings.Copyright © 2023. Published by Elsevier Inc.