腹腔镜手术治疗良性卵巢上皮性肿瘤的安全性探讨——附72例报告

The safeness of laparoscopy in the treatment of benign ovarian epithelial tumor.

目的 :探讨腹腔镜手术治疗良性卵巢上皮性肿瘤的疗效及安全性。方法 :对 72例接受腹腔镜手术治疗的卵巢上皮性肿瘤患者的临床资料进行回顾性分析。结果 :6 5例患者行腹腔镜下肿瘤剔出术 ,6例患者行附件切除术 ,其中 4 5例为浆液性囊腺瘤 ,2 6例为黏液性囊腺瘤 ;另 1例患者因术中发现为卵巢癌而改行开腹卵巢癌根治术。手术时间为 (5 0± 32 )分钟 ,术中出血量 10～ 70mL ,术后住院时间 2～ 8日。所有患者均无并发症。术后随访 6 5例患者 6个月～ 7年 ,1例于术后 1年复发 ,为同侧卵巢浆液性囊腺瘤 ;1例于术后 7年继发双侧卵巢乳头状浆液性囊腺癌。结论

Objective:To assess the safeness and efficacy of laparoscopy in the treatment of benign ovarian epithelial tumor. Methods: The data of 72 patients with ovarian epithelial tumor who underwent laparoscopic operation were retrospectively analyzed. Results: 71 of 72 patients underwent laparoscopic surgery. One patient who was diagnosed of malignant ovarian tumor was converted to laparotomy. 65 cases underwent laparoscopic ovarian cystectomy. 6 cases underwent laparoscopic adnexectomy.The pathological examination showed 45 cases with serous cystadenoma and 26 cases with mucinous cystadenoma.The operation time was (50±32) min. The volume of bleeding was 10～70 mL.The hospital stay after operation was 2～8 days. There was no complications during the operation.65 cases were followed up for a period from six months to 7 years. One patient had a recurrent ovarian serous cystadenoma. One patient developed serous cystadenocarcinoma after 7 years of operation. Conclusion: Laparoscopy is a safe and effective method in the treatment of patients with ovarian epithelial tumor.