摘要
目的 :探讨腹腔镜下卵巢良性畸胎瘤手术的方法。就避免囊液外溢造成腹腔污染 ,减少并发症等问题提出解决办法。方法 :卵巢良性畸胎瘤行腹腔镜手术治疗 ,为预防囊液外溢造成腹腔污染 ,术中将医用透明塑料袋导入腹腔 ,手术操作均在塑料袋中进行。结果 :12例均在腹腔镜下完成手术全过程。10例行卵巢皮样囊肿剥离术 ,2例行附件切除术 ,其中4例在剥离术中发生了囊肿破裂 ,内容物外溢于塑料袋内 ,未造成腹腔污染。平均手术时间69min。结论 :腹腔镜下行卵巢良性畸胎瘤手术是完全可行的 ,其损伤小 ,病人恢复快 ,剥离畸胎瘤的手术操作在塑料袋中进行 。
Objective: To establish a operative method for benign ovary teratoma to avoid the leakag of teratoma fluid and reduce the complications by video- laparoscope. Method: 12 cases of patients with benign ovary teratoma were operated laparoscopically. A transparent plastic bag was introduced into the abdomen and the tumor was put in and operated to avoid the leakage of teratoma fluid into the peritoneal cavity. Results: All the 12 operations were finished under video- laparoscope , in which 10 had the the tumor striped and 2 had salpingo-oophorectomy. The cysts were ruptured and the fluid was leaked into the bag without cavity pollution in 4 cases. The mean operating time was 69 minutes. Conclusion: Introducing a plastic bag into the abdomen and operating in it are effective manipulation to avoid fluid leakage by laparoscope for benigh ovary teratoma and the operation is completely feasible because of less damage and rapid recover.
出处
《海南医学院学报》
CAS
2000年第4期214-216,共3页
Journal of Hainan Medical University
