脐部单孔腹腔镜手术治疗儿童卵巢囊肿36例临床分析

Clinical research of umbilical single-port laparoscopic surgery in the treatment of children ovarian cysts of 36 cases

目的：探讨脐部单孔腹腔镜手术治疗儿童卵巢囊肿的可行性及安全性。方法回顾性分析脐部单孔腹腔镜辅助在腹腔外行囊肿剥除术治疗儿童卵巢囊肿36例的疗效。结果36例患儿均顺利完成手术，手术时间（27.8±8.6）min，肿瘤直径（7.2±2.4）cm，术中出血量（6.5±1.6）ml，术后病理检查均诊断为良性卵巢囊肿。34例剥除囊肿后保留卵巢组织，2例因卵巢已坏死，切除病变卵巢。患儿术后肠蠕动恢复时间（18.4±4.6）h，术后住院时间（4.2±1.3）d，麻醉清醒后即可进食水。患儿恢复顺利，无手术相关并发症，术后随访（24.6±6.3）个月，无复发病例。结论脐部单孔腹腔镜手术辅助治疗小儿卵巢囊肿操作简单易行，损伤轻、无瘢痕、恢复快、手术确切可靠，该技术值得推广。

Objective To investigate the feasibility and safety of umbilical single- port laparoscopic surgery in the treatment of children ovarian cysts. Methods The clinical efficacy of umbilical single-port laparoscopic surgery in the treatment of children ovarian cysts of 36 cases was analyzed retrospectively. Results Thirty-six children successfully completed surgery. The operative time was （27.8 ± 8.6） min, the diameter of ovarian cysts was （7.2 ± 2.4） cm, and the blood loss was＆nbsp;（6. 5 ± 1.6） ml. All the children were confirmed to have benign ovarian cysts by pathological examination. Thirty-four children retained ovarian tissue after removal of the cyst, and 2 children underwent oophorectomy because of ovarian necrosis. The anus exhaust was recovered （18.4 ± 4.6） h after surgery, and the postoperative hospital stay was （4.2 ± 1.3） d. The children began to diet after anesthesia conscious. All the children recovered well, and no surgical complications occurred. The followed-up time was （24.6 ± 6.3） months, and no recurrence occurred. Conclusions Umbilical single-port laparoscopic surgery in the treatment of children ovarian cysts is easy, minimally invasive, no scar formation, quickly recovered and reliable. It is worth of further clinical application.