成人腹腔镜器械治疗小儿卵巢良性肿瘤9例临床分析

Conventional laparoscopic treatment of benign ovarian tumors in children: an analysis of 9 cases

目的探讨应用成人腹腔镜器械治疗小儿卵巢良性肿瘤的安全性及可行性。方法 2007年5月-2013年6月中南大学湘雅三医院妇科采用成人腹腔镜器械治疗小儿卵巢良性肿瘤9例,视术中情况行肿瘤剥除或附件切除。结果 9例患儿均成功完成手术,手术时间25-40 min,出血量10-50 ml,术后随访伤口愈合好,肿瘤无复发。结论成人腹腔镜器械在小儿卵巢良性肿瘤中的应用安全有效,较开腹手术有创伤小、切口美观及瘢痕不明显等优点,对于缺乏微型腹腔镜器械支持的医院有一定的推广价值。

【Objective】To analyze the safety and feasibility of conventional laparoscopic treatment of benign ovarian tumors in children. 【Methods】9 cases of benign ovarian tumors in children, which took place in May 2007 to June 2013, were treated by conventional laparoscopy. 【Results】The surgeries were all successful, the time surgeries takes ranged from 25 ~40 min, bleeding ranged from 10 ~50 ml, postoperative follow-up showed the wounds healing well and no tumor recurrence. 【Conclusion】Conventional laparoscopic treatment of benign ovarian tumors in children is safe and feasible. It is less invasive than open surgery with more beautiful incision and few scars. The study has some promotional value for the hospital lack of micro-laparoscopic instruments.