单孔腹腔镜在巨大卵巢囊肿剔除术中的应用  

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

作　　者：王丹莹[1] 刘海元[1] Wang Danying;Liu Haiyuan(Department of Obstetrics and Gynecology,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Science,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院妇产科,北京100730

出　　处：《中华腔镜外科杂志（电子版）》2018年第6期331-334,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：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.

关 键 词：单孔腹腔镜囊肿剔除术 巨大卵巢囊肿 

分 类 号：R737.31[医药卫生—肿瘤]