Barbancho D Cabezalí, Novillo I Cano, Vázquez A García, Díaz M López, Sánchez R Tejedor, Gordo M Benavent
Sección de Cirugía General, Servicio de Cirugía Pediáitrica. Hospital Universitario 12 de Octubre, Madrid.
Cir Pediatr. 2007 Jan;20(1):15-8.
Laparoscopic techniques play a major role in pediatric surgery. We reported our experience in the laparoscopic management of ovarian tumors.
22 patients with ovarian tumor were treated with laparoscopy in our hospital from 1998 to 2005. The following features have been taken into account: surgical techniques in the dissection and extraction of the tumors, time of surgery, hospital stay, complications and time of follow- up.
21 benign teratomas and one osteosarcoma metastasis were observed in this group of 22 patients. The average of age at diagnosis was 9.5 years (range 1.5-17 years) The chief symptom was acute abdominal pain in 47.3% of cases, in 10.5% was chronic pain and in 42.2% of patients was an incidental finding. In 8 girls (36.4%) were performed adnexectomy, in 11 (50%) ooforectomy and in three cases (13.6%) the cyst was enucleated with preservation on the ovary. In one patient a haemorrhage cyst was found and it was treated in the same time and in four patients an inguinal hernia as seen in the laparoscopic surgery and they were repaired subsequently.
Laparoscopic management of ovarian tumor is safe and effective. It allows the surgeon to dissect the tumor, to determine respectability in ovarian cancer and taking biopsy under direct vision. This approach lets to diagnose other lesions that can be repaired in the same procedure or subsequently.
腹腔镜技术在小儿外科中发挥着重要作用。我们报告了我们在腹腔镜治疗卵巢肿瘤方面的经验。
1998年至2005年，我院对22例卵巢肿瘤患者进行了腹腔镜治疗。考虑了以下特征：肿瘤切除和取出的手术技术、手术时间、住院时间、并发症及随访时间。
该组22例患者中观察到21例良性畸胎瘤和1例骨肉瘤转移。诊断时的平均年龄为9.5岁（范围1.5 - 17岁）。主要症状为急性腹痛的占47.3%，慢性腹痛的占10.5%，偶然发现的占42.2%。8例女孩（36.4%）进行了附件切除术，11例（50%）进行了卵巢切除术，3例（13.6%）囊肿剥除术并保留卵巢。1例患者发现出血性囊肿并同时进行了治疗，4例患者在腹腔镜手术中发现腹股沟疝并随后进行了修补。
腹腔镜治疗卵巢肿瘤安全有效。它使外科医生能够解剖肿瘤，确定卵巢癌的可切除性并在直视下进行活检。这种方法有助于诊断其他可在同一手术过程中或随后修复的病变。
