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中华腔镜外科杂志(电子版) ›› 2018, Vol. 11 ›› Issue (06): 331 -334. doi: 10.3877/cma.j.issn.1674-6899.2018.06.005

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单孔腹腔镜在巨大卵巢囊肿剔除术中的应用
王丹莹 1, 刘海元 1 , ( )   
  1. 1. 100730 北京,中国医学科学院北京协和医院妇产科
  • 收稿日期:2018-11-12 出版日期:2018-12-30
  • 通信作者: 刘海元

Application of single-site laparoscopy in the removal of giant ovarian cysts

Danying Wang 1, Haiyuan Liu 1 , ( )   

  1. 1. Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100730, China
  • Received:2018-11-12 Published:2018-12-30
  • Corresponding author: Haiyuan Liu
  • About author:
    Corresponding author: Liu Haiyuan, Email:
目的

探讨单孔腹腔镜技术在卵巢巨大囊肿剥除术中的应用价值。

方法

回顾性分析2017年3月至2018年3月在北京协和医院妇产科进行单孔腹腔镜辅助下巨大卵巢囊肿体外剥除术的9例患者的临床资料,其中2例为孕13周;根据术后病理类型分类:其中5例为黏液性囊腺瘤,2例为畸胎瘤,1例为子宫内膜异位囊肿,1例为单纯囊肿。

结果

9例患者均顺利在单孔腹腔镜辅助下完成巨大卵巢囊肿体外剥除,无患者中转开腹或多孔腹腔镜,围手术期无手术相关并发症发生。中位手术时间55 min(35~60 min),中位术中出血量10 ml(10~75 ml),平均术后住院时间(5.11±1.41)d。其中2例妊娠患者均顺利足月阴道分娩,1例患者术后3个月自然妊娠,6例患者术后6~12个月复查超声均无复发。

结论

术前严格筛查排除恶性卵巢肿瘤可能,行单孔腹腔镜辅助下巨大卵巢囊肿体外剥除术为治疗卵巢巨大囊肿提供了一种安全可行的方法。

Objective

To evaluate single-port laparoscopic surgery in the removal of giant cysts of the ovary.

Methods

We retrospective analyzed the clinical data of 9 patients with giant ovarian cysts who underwent single-port laparoscopic assisted extracorporeal ovarian cystectomy at gynecology department of Peking Union Medical College Hospital from Mar.2017 to Mar.2018. Among them 2 patients were pregnant at 13+ weeks. The postoperative histology showed 5 patients were mucinous cystadenoma, 2 were teratoma, 1 was endometriotic cyst and 1 was simple cyst.

Results

All the 9 patients successfully completed the removal of giant ovarian cysts with the assistance of single-port laparoscopy. No patients were converted to laparotomy or multi-port laparoscopy. The median operation time was 55 min (35-60 min), the median bleeding volume was 10 ml(10-75 ml), and average the hospital stay was (5.11±1.41 days). Term delivery was noted in 2 pregnant women. One patient had a natural pregnancy in 3 months after operation, and the other six patients had no recurrence after 6-12 months.

Conclusions

Single-port laparoscopic assisted extracorporeal ovarian cystectomy provides an alternative method for the treatment of giant ovarian cysts.

表1 9例单孔腹腔镜辅助下巨大卵巢囊肿体外剥除术患者术前基本情况比较
表2 9例单孔腹腔镜辅助下巨大卵巢囊肿体外剥除术患者术中及术后情况
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