电视腹腔镜妇科手术150例报告

150 cases of vedio- laparoscopic gynecologic surgery

报告电视腹腔镜妇科手术１５０例，其中急腹症６３例（宫外孕４６例，卵巢破裂９例，卵巢囊肿蒂扭转８例），附件肿瘤６３例，子宫疾病２４例。全身麻醉后在电视腹腔镜下分别施行了输卵管切除、绝育术、卵巢肿瘤剔除、附件切除、子宫肌瘤剔除，全子宫切除等手术。４例患者因盆腔严重粘连中转开腹手术，未发生严重并发症。

rom September 1992 to September 1993, 1 50 pa-tients aged 15～ 68 years underwent laparoseopicgynecologic surgery. These patients included 63 pa-tients with acute abdominal diseases (46 had ectopicpregnancy, 9 rupture of ovary, and 8 torsion ofovarian cyst), which consisted of 90% of total patientswith acute abdomen in corresponding period, 63 pa-tients with mass of adnexa. which made up 72% of to-tal patients with ovarian tumors, and 24 patients withuterine diseases. We successfully performedlaparoscopic salpinggostomy, fallotomy, removal ofQvarian cyst, oophorosalpingectomy, myomectomyand laparoscopy assisted vaginal hysterectomy(LAVH) with 2～ 4 puncture technic after generalanethesia. The largest ovarian tumor and the enlargeduterus were 14 and 16cm in diameter respectively.Four patients had laparotoniy because of severe pelvicadhesions and the laparotomy rate was about 2.6%.The procedure lasted 20～240 minutes and bleedingwas less than 200ml. No maj or surgical complicationwas cncountered