悬吊式腹腔镜治疗特殊人群巨大卵巢囊肿33例临床探索

Clinical exploration of suspensory laparoscopy in treatment of 33 special cases with giant ovarian cyst

目的：探索在儿童及妊娠、心肺功能异常人群中行悬吊式腹腔镜治疗巨大卵巢囊肿的可行性.方法：回顾性分析5年来实施的33例悬吊式腹腔镜治疗巨大卵巢囊肿患者的临床资料.结果：术中实测卵巢囊肿直径为12.9-23.3cm.33例患者手术中,卵巢囊肿剥出术27例,患侧附件切除术6例.平均手术时间（86.0±42.5）min,术中出血60.3±45.5ml,平均肛门排气时间（20.45±8.26）h,患者平均住院时间（6.13±2.34）d,术后24h内均拔除尿管,术中及术后无并发症.患者术后病理报告与术中冰冻结果基本-致.结论：无气腹悬吊式腹腔镜技术开辟了特殊人群合并巨大卵巢囊肿的治疗新路.

Objective：To explore the feasibility of suspensory laparoscopy in treatment of giant ovarian cyst in children, preg-nant women, and those with abnormal cardiopulmonary function. Methods：The clinical data of 33 cases with giant ovarian cyst treatedby suspensory laparoscopy in the recent 5 years were retrospectively analyzed. Results： The intraoperative measurement of ovarian cystwas 12. 9 ~23. 3cm in diameter. In the 33 cases, 27 cases were given ovarian cyst stripping, 6 cases received adnexectomy with the af-fected side. The average operation duration was （86. 0±42. 5） min, intraoperative blood loss was （60. 3±45. 5） ml, average postoper-ative exhaust time was （20. 45±8. 26） h, and the average hospital stay was （6. 13±2. 34） d. All the catheters had been removed with-in 24 hours after operation. Intraoperative and postoperative complications did not occur. The Postoperative pathological result was con-sistent with the intraoperative frozen result basically. Conclusions： The gasless suspensory laparoscopy has emerged for the specialgroups with giant ovarian cyst.