Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Rome, Italy.
Gynecol Obstet Invest. 2011;71(1):53-8. doi: 10.1159/000320737. Epub 2010 Dec 15.
To describe the outcomes of a modified technique for conservative laparoscopic enucleation of ovarian dermoid cyst, placing the ovary in an endobag during enucleation to prevent intraperitoneal spillage.
Laparoscopic dermoid cyst enucleation was performed in 35 cases of premenopausal patients placing the ovary in an endobag at the beginning of the procedure and removing the cyst from the abdominal cavity by the same endobag.
Dermoid cysts with a mean diameter of 6.3 ± 2.7 cm were enucleated and removed laparoscopically 'in a bag' without intra- or postoperative complications. Cyst rupture occurred in 10 cases (28.5%), but evident peritoneal contamination occurred in only 2 (5.7%; 95% confidence interval: 0.7-19.2%), because in 8 patients spillage was contained by the surrounding bag. The mean operative time was 64.6 ± 27 min. No signs or symptoms of peritonitis were observed. The mean postoperative hospitalization was 1.6 ± 1.4 days. Among the 12 infertile patients, 7 spontaneous pregnancies (58%) occurred.
Laparoscopic conservative excision of dermoid cysts placing the ovary in an endobag at the beginning of surgery and removing the cyst by the same bag is a safe and effective approach to reduce intraperitoneal spillage and operative time.
描述一种改良的卵巢皮样囊肿保守性腹腔镜剥除术的结果，即在手术开始时将卵巢放入内置袋中，以防止囊内物质在腹腔镜手术中溢出到腹腔中。
对 35 例绝经前患者进行腹腔镜皮样囊肿剥除术，在手术开始时将卵巢放入内置袋中，并通过同一个内置袋将囊肿从腹腔中取出。
成功地腹腔镜剥除了直径为 6.3±2.7cm 的皮样囊肿，且“在袋中”无并发症地取出。10 例（28.5%）囊肿破裂，但仅 2 例（5.7%；95%置信区间：0.7-19.2%）出现明显的腹膜污染，因为在 8 例患者中，溢出物被周围的袋子包裹。手术时间平均为 64.6±27 分钟。没有观察到腹膜炎的迹象或症状。术后平均住院时间为 1.6±1.4 天。在 12 例不孕患者中，有 7 例（58%）自发性妊娠。
在手术开始时将卵巢放入内置袋中，并通过同一个袋子取出囊肿的腹腔镜保守性切除皮样囊肿的方法，可以安全有效地减少囊内物质溢出和手术时间。
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