等压无气腹腔镜子宫肌瘤切除术用于切除大型子宫平滑肌瘤。
Isobaric gasless laparoscopic myomectomy for removal of large uterine leiomyomas.
作者信息
Damiani A, Melgrati L, Franzoni G, Stepanyan M, Bonifacio S, Sesti F
机构信息
Division of Obstetrics and Gynecology, International School of Gynaecological Endoscopy, S. Pio X Hospital, Via F. Nava 31, 20159, Milan, Italy.
出版信息
Surg Endosc. 2006 Sep;20(9):1406-9. doi: 10.1007/s00464-004-9078-4. Epub 2006 Jul 3.
BACKGROUND
This study aimed to evaluate the feasibility and safety of isobaric laparoscopic removal of large myomas (> or = 8 cm) using the Laparotenser, a subcutaneous abdominal wall-lifting system.
METHODS
A series of 63 consecutive patients with at least one large symptomatic subserosal or intramural uterine myoma (> or = 8 cm) underwent an isobaric gasless laparoscopic myomectomy. Conventional laparotomy instruments were used.
RESULTS
The procedure was successfully completed for all 63 consecutive patients. The average size of the dominant myoma was 11 cm. The mean number of myomas removed from each patient was 3.6. The mean blood loss was 143 ml, and the mean operating time was 72 min. No intraoperative complication occurred.
CONCLUSIONS
Gasless laparoscopic myomectomy for the removal of large myomas using the Laparotenser is feasible and safe. It offers several advantages over laparoscopy with pneumoperitoneum.
背景
本研究旨在评估使用腹壁皮下提拉系统Laparotenser进行等压腹腔镜下切除大型肌瘤（≥8 cm）的可行性和安全性。
方法
连续63例至少有一个有症状的大型浆膜下或肌壁间子宫肌瘤（≥8 cm）的患者接受了等压无气腹腔镜子宫肌瘤切除术。使用传统的开腹手术器械。
结果
连续63例患者的手术均成功完成。主要肌瘤的平均大小为11 cm。每位患者切除肌瘤的平均数量为3.6个。平均失血量为143 ml，平均手术时间为72分钟。术中未发生并发症。
结论
使用Laparotenser进行无气腹腔镜下切除大型肌瘤是可行且安全的。与气腹腹腔镜手术相比，它具有几个优点。
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