高难度腹腔镜子宫肌瘤剜出术27例手术探讨

High difficult laparoscopic myomectomy:analysis of 27 cases

目的 探讨腹腔镜下进行高难度子宫肌瘤剜出术的可行性和手术技巧。方法 对 2 7例子宫肌瘤直径超过 1 0cm或肌瘤个数超过 5个或子宫肌瘤位于子宫肌层深部而行子宫肌瘤剜出术的病例进行回顾性分析。结果 所有病例手术均在腹腔镜下完成 ,手术过程顺利 ,无 1例中转开腹 ,无 1例手术并发症发生。手术时间为 (1 0 2 .7± 36 .7)min,术中失血量 (1 4 7± 80 )ml,术后平均住院时间 4 .8d。结论 高难度子宫肌瘤剜出术可在腹腔镜下完成 。

Objective To investigate the possibility and technique of high difficult laparoscopic myomectomy.Methods The data of 27 cases which diameter of myoma >10cm or the number of myomas more than 5 or myomas situated in deep part of myometrium undergoing laparoscopic myomectomy were retrospectively analyzed.Results Twenty seven cases were all operated successfully by laparoscope.There were no complication in all cases.The average operating time and blood loss was (102.7±36.7)min and(147±80)ml respectively.The average postoperative hospital stay was 4.8d.Conclusion High difficult myomectomy can be performed by laparoscope,but skilled operative techniques must be mastered.