Akira S, Yamanaka A, Ishihara T, Takeshita T, Araki T
Department of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.
Am J Obstet Gynecol. 1999 Mar;180(3 Pt 1):554-7. doi: 10.1016/s0002-9378(99)70253-x.
The efficacy and safety of gasless laparoscopic ovarian cystectomy during pregnancy were compared with those of conventional laparotomy.
Subjects for the 2 study groups were selected from consecutive patients who satisfied all entrance criteria. Seventeen women who underwent gasless laparoscopic cystectomy were compared with 18 women who underwent cystectomy by laparotomy. The intraoperative and postoperative courses, pregnancy outcomes, and complications were compared.
The patients' ages, body mass indexes, mean cyst diameters, fetal gestational ages, and types of cysts did not differ significantly between the two groups. Blood loss, analgesic use, and need for tocolytic agents were significantly less in the laparoscopy group than in the laparotomy group. No abortions or preterm deliveries occurred in the laparoscopy group, whereas 1 abortion was recorded in the laparotomy group.
Gasless laparoscopic ovarian cystectomy offers significant advantages with respect to laparotomy for the pregnant patient.
比较无气腹腹腔镜下妊娠合并卵巢囊肿切除术与传统剖腹手术的疗效及安全性。
从连续符合所有入选标准的患者中选取两个研究组的受试者。将17例行无气腹腹腔镜囊肿切除术的女性与18例行剖腹囊肿切除术的女性进行比较。对比两组的术中及术后过程、妊娠结局和并发症。
两组患者的年龄、体重指数、平均囊肿直径、胎儿孕周及囊肿类型差异均无统计学意义。腹腔镜组的失血量、镇痛药使用量及使用宫缩抑制剂的需求均显著少于剖腹手术组。腹腔镜组未发生流产或早产，而剖腹手术组有1例流产记录。
对于妊娠患者，无气腹腹腔镜下卵巢囊肿切除术相对于剖腹手术具有显著优势。
