青少年巨大卵巢囊肿的腹腔镜治疗：一例报告
Laparoscopic management of a large ovarian cyst in an adolescent. A case report.
作者信息
Eltabbakh G H, Kaiser J R
机构信息
Division of Gynecologic Oncology, University of Vermont, Burlington, USA.
出版信息
J Reprod Med. 2000 Mar;45(3):231-4.
BACKGROUND
The safety of laparoscopic management of benign ovarian cysts has been demonstrated. The size of the benign ovarian cyst continues to be a limiting factor for laparoscopic surgery, with most surgeons choosing laparotomy for large cysts.
CASE
A 15-year-old woman had a 22-cm, benign ovarian cyst extending above the umbilicus that was managed successfully with laparoscopy. We performed prelaparoscopy cyst drainage with a suprapubic Bonanno catheter (Becton Dickinson, Rutherford, New Jersey) followed by laparoscopic cystectomy. Because of its coiled end, the Bonanno catheter is less likely to result in cyst leakage around the aspiration site.
CONCLUSION
With proper patient selection, laparoscopic surgery can be safely applied in a select group of patients with large, benign ovarian cysts.
背景
腹腔镜治疗良性卵巢囊肿的安全性已得到证实。良性卵巢囊肿的大小仍然是腹腔镜手术的一个限制因素，大多数外科医生会选择对大囊肿进行剖腹手术。
病例
一名15岁女性患有一个22厘米的良性卵巢囊肿，囊肿延伸至脐上，通过腹腔镜手术成功治疗。我们在腹腔镜手术前用耻骨上邦南诺导管（美国新泽西州卢瑟福的贝克顿·迪金森公司生产）进行囊肿引流，随后进行腹腔镜囊肿切除术。由于其盘绕的末端，邦南诺导管在抽吸部位周围导致囊肿渗漏的可能性较小。
结论
通过适当的患者选择，腹腔镜手术可安全应用于一组特定的患有大的良性卵巢囊肿的患者。
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