腹腔镜下巨大输卵管系膜囊肿剥除一例

Laparoscopic Removal of Giant Mesosalpinx Cyst: A Case Report

目的探讨巨大输卵管系膜囊肿的临床和治疗特点,以提高对该病的认识。方法回顾性分析1例经病理证实的巨大输卵管系膜囊肿患者的临床资料,并结合相关文献进行分析。结果患者临床表现为腹胀及阴道内褐色分泌物,超声及CT显示腹、盆腔内巨大囊性占位,行单孔腹腔镜下左侧输卵管系膜囊肿剥除术,无渗漏情况下抽吸囊液约2500mL,将囊肿壁拉至体外,予以完整剥除囊肿壁,并将系膜外翻予以电凝及结扎止血。结论巨大输卵管系膜囊肿发现后及应时处理,其中单孔腹腔镜手术切口小、恢复快,剥离过程中需注意控制囊液抽吸速度和保护切口,防止腹压骤减以及穿刺过程囊液外漏污染切口及腹腔。

Objective To explore the clinical and therapeutic characteristics of giant mesosalpinx cyst in order to improve the understanding of the disease.Methods The clinical data of a patient with pathologically confirmed giant tubal tract cyst were retrospectively analyzed and combined with related literature for analysis.Results The patient presented with abdominal distension and brown vaginal discharge,and ultrasound and CT showed a large cystic occupancy in the abdomen and pelvis.The cyst wall was pulled out of the body,and the cyst wall was completely debrided,and the tract was exenterated and ligated to stop bleeding.Conclusion The single-port laparoscopic surgery has a small incision and quick recovery.During dissection,attention should be paid to controlling the speed of cystic fluid aspiration and protecting the incision to prevent sudden reduction of abdominal pressure and contamination of the incision and abdominal cavity by leakage of cystic fluid during puncture.