肝移植术后全腹腔镜子宫切除术。
Total laparoscopic hysterectomy after liver transplantation.
机构信息
Department of Obstetrics and Gynecology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
出版信息
Hepatobiliary Pancreat Dis Int. 2010 Aug;9(4):438-40.
BACKGROUND
The number of females who undergo liver transplantation is growing and sometimes gynecologic operations are needed to control gynecologic diseases after liver transplantation.
METHOD
Total laparoscopic hysterectomy was performed in 2 patients who had undergone liver transplantation, one for adenomyosis and the other for hysteromyoma.
RESULTS
It was safe to create a pneumoperitoneum through the umbilical skinfold even though mild adhesion in the pelvic cavity occurred in one patient. The operative times were 95 and 90 minutes, with blood loss of about 100 and 60 ml, respectively. Oral intake, flatus passage, and ambulation recovered within a day, after the operation. No significant changes in liver function were observed except complication of diarrhea caused by Candida albicans in one patient.
CONCLUSIONS
The result of the two patients suggest that total laparoscopic hysterectomy is a safe and effective surgical approach for patients who have undergone liver transplantation.
背景
接受肝移植的女性人数不断增加，有时需要进行妇科手术来控制肝移植后的妇科疾病。
方法
对 2 例接受过肝移植的患者进行了全腹腔镜子宫切除术，1 例为子宫腺肌病，另 1 例为子宫肌瘤。
结果
即使在 1 例患者的盆腔有轻度粘连的情况下，通过脐部皮肤皱褶建立气腹也是安全的。手术时间分别为 95 分钟和 90 分钟，出血量分别约为 100 毫升和 60 毫升。术后当天恢复口服、放屁和行走。除 1 例患者因白色念珠菌引起腹泻而出现并发症外，肝功能无明显变化。
结论
这两例患者的结果表明，全腹腔镜子宫切除术对于接受过肝移植的患者是一种安全有效的手术方法。
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