Surgical Oncology Department, National Cancer Institute, Cairo University, Cairo, Egypt.
Surg Endosc. 2011 Jul;25(7):2241-6. doi: 10.1007/s00464-010-1541-9. Epub 2011 Feb 7.
Irradiation of the pelvis in the treatment of cancers will result in ovarian failure unless the ovaries are shielded adequately. To protect the ovaries, an oophoropexy may be performed. Our aim was to evaluate the feasibility, morbidity, and efficacy of laparoscopic ovarian transposition using a simple percutaneous needle technique.
Fifteen patients (ten with rectal cancer and five with Hodgkin's disease) underwent the new laparoscopic oophoropexy technique. Laparoscopic releasing of the ovary was performed by cutting the utero-ovarian ligament followed by placing the ovaries on the anterior abdominal wall. A percutaneous straight needle was introduced through a 2-mm skin incision at the site of fixation. Repositioning of the ovaries was done on an outpatient basis without the need for readmission to the operating theatre.
The technique was effective, reliable, and simple with no morbidities. Repositioning was performed simply in the outpatient clinic. At follow-up, 11 patients had evidence of ovarian function.
Percutaneous needle transposition of the ovaries is a simple, effective, reliable, and easy-to-perform technique. It has short learning curve and can be done by less experienced laparoscopic surgeons.
在治疗癌症时，如果不对卵巢进行充分屏蔽，盆腔照射会导致卵巢衰竭。为了保护卵巢，可以进行卵巢固定术。我们旨在评估使用简单经皮穿刺针技术进行腹腔镜卵巢移位的可行性、发病率和疗效。
15 名患者（10 名直肠癌患者和 5 名霍奇金病患者）接受了新的腹腔镜卵巢固定术。通过切断子宫卵巢韧带，然后将卵巢放置在前腹壁上来进行腹腔镜释放卵巢。在固定部位通过 2mm 皮肤切口引入直穿刺针。无需再次住院即可在门诊进行卵巢重新定位。
该技术有效、可靠且简单，无并发症。在门诊即可轻松进行重新定位。随访时，11 名患者有卵巢功能的证据。
经皮穿刺针卵巢移位术是一种简单、有效、可靠且易于实施的技术。它具有较短的学习曲线，经验较少的腹腔镜外科医生也可以进行操作。
