腹腔镜手术治疗婴儿卵巢成熟性囊性畸胎瘤的临床体会

Laparoscopic operation for mature ovarian cystic teratoma in infant

目的:探讨腹腔镜手术治疗婴儿卵巢成熟性囊性畸胎瘤的手术技巧、临床疗效及安全性。方法:回顾分析为11例卵巢成熟性囊性畸胎瘤患儿行腹腔镜手术的临床资料。术中冲洗腹腔,以免术后发生腹腔感染、粘连。结果:所有腹腔镜手术均顺利完成,无一例中转开腹,无腹膜炎、切口感染、腹腔粘连等近期并发症发生,均治愈出院。随访10个月至7年,无复发、继发性肉芽肿等远期并发症发生,生长发育如正常儿童。结论:腹腔镜手术治疗婴儿卵巢成熟性囊性畸胎瘤安全,有效,组织损伤小,出血少,康复快,切口美观,无明显近、远期并发症发生,可推广应用。

Objective： To investigate the operative skill,safety and clinical effect of laparoscopic operation for mature ovarian cystic teratoma in infant. Methods：The clinical data of 11 infants who suffered from mature ovarian cystic teratoma and underwent laparoscopic operation were retrospectively analyzed.Abdominal cavity was lavaged during operation to avoid postoperative peritoneal infection and adhesion. Results：All laparoscopic operations were successfully performed,without conversion to laparotomy or short-term complications,such as peritonitis,incision infection or intraperitoneal adhesion.Infants were all cured and discharged.During the follow-up of 10 months and 7 years,no long-term complications occurred,such as recurrence or secondary granuloma.The growth and development was not different from normal child. Conclusions：Laparoscopic operation for mature ovarian cystic teratoma in infant is safe,effective,curative,mini-invasive with little blood loss,quick recovery and satisfactory cosmetic result,and without obvious short-term or long-term complications.This procedure could be applied and generalized for treatment of mature ovarian cystic teratoma in infant.