Gyr T, Berclaz G, Dreher E, Bratschi H U, Hänggi W
Universitäts-Frauenklinik, Bern, Schweiz.
Gynakol Rundsch. 1991;31(4):201-6.
Of 149 laser laparoscopies 50 were performed for adnexal masses. Histological evaluation revealed benign cysts in 54%, endometrioma in 24% and other benign tumors in 14%. In 2 cases, a mucinous cyst was diagnosed, in 1 case a borderline ovarian tumor and in 1 case adenocarcinoma was found. There were no complications. 10% of the patients underwent secondary laparotomy. During the observation period, 6% of the patients required operation for recurrent disease. Low complication rate, little blood loss and a short hospital stay are advantages of laparoscopic surgery.
在149例激光腹腔镜手术中,50例是针对附件肿块进行的。组织学评估显示,54%为良性囊肿,24%为子宫内膜异位症,14%为其他良性肿瘤。2例诊断为黏液性囊肿,1例为交界性卵巢肿瘤,1例发现腺癌。无并发症发生。10%的患者接受了二次剖腹手术。在观察期内,6%的患者因疾病复发需要手术。腹腔镜手术的优点是并发症发生率低、失血少和住院时间短。