Reich H, McGlynn F, DeCaprio J, Budin R
Wyoming Valley Gynecology Associates, Kingston, Pennsylvania.
Obstet Gynecol. 1991 Nov;78(5 Pt 2):956-8.
Increasing sophistication in laparoscopic instrumentation and techniques has led to an ever-expanding list of surgical indications that are no longer exclusive to gynecology. This report describes our experience with three women who had benign lesions of the liver edge found incidentally during laparoscopic surgery for gynecologic symptoms. The first women was managed traditionally with subsequent exploratory laparotomy; she developed ileus postoperatively and required a 5-day hospital stay. The other two were managed laparoscopically without incident. Each was hospitalized less than 24 hours. All three liver lesions proved benign on histologic examination. Although not all liver lesions can or should be excised laparoscopically, selected superficial neoplasms can be managed expediently by a laparoscopic approach.
腹腔镜器械和技术的日益成熟，使得越来越多的手术适应证不再局限于妇科领域。本报告描述了我们对三名女性患者的治疗经验，她们在因妇科症状接受腹腔镜手术时，偶然发现肝脏边缘有良性病变。第一名女性患者接受了传统的后续剖腹探查术；术后出现肠梗阻，住院5天。另外两名患者通过腹腔镜手术顺利治疗，每人住院时间均少于24小时。所有三个肝脏病变经组织学检查均证实为良性。虽然并非所有肝脏病变都能或都应通过腹腔镜切除，但某些表浅肿瘤可通过腹腔镜手术方便地进行治疗。
