Tavmergen E N, Mecke H, Semm K
Abteilung Frauenheilkunde im Zentrum für Operative Medizin I, Christian-Albrechts-Universität zu Kiel.
Zentralbl Gynakol. 1990;112(22):1405-11.
In analyzing 500 consecutive pelviscopies performed at the University Women's Clinic in Kiel in 1988, 310 patients had undergone either diagnostic or operative procedures on the ovary, i.e. pelviscopy in the case of an ovarian tumor. 95.5% of all procedures could be performed per pelviscopy. 4.5% of cases required therapy per laparotomy. The pelviscopic procedures were primarily organ preserving operations associated with minimally invasive surgery, for example: Ovariolysis, ovarian cyst enucleation, coagulation of ovarian endometriotic implants, follicle puncture, parovarian cyst enucleation and, salpingo-oophorectomy. Laparotomy was indicated in the case of malignant disease, borderline tumors, large tumors, extensive adhesiolysis status post previous laparotomy, and in one case uncontrollable bleeding. The results show that today most procedures on the ovary can be performed per pelviscopy. In order to prevent a pelviscopic intervention in suspicious cases, the indication for laparotomy here must be generously applied.
在分析1988年于基尔大学妇女诊所进行的500例连续盆腔镜检查时，310例患者对卵巢进行了诊断或手术操作，即在卵巢肿瘤情况下进行盆腔镜检查。所有操作中95.5%可通过盆腔镜完成。4.5%的病例需要通过剖腹手术进行治疗。盆腔镜手术主要是与微创手术相关的保留器官手术，例如：卵巢粘连松解术、卵巢囊肿摘除术、卵巢子宫内膜异位植入物凝固术、卵泡穿刺术、卵巢冠囊肿摘除术以及输卵管卵巢切除术。在恶性疾病、交界性肿瘤、大肿瘤、既往剖腹手术后广泛粘连松解以及1例无法控制的出血情况下，需进行剖腹手术。结果表明，如今大多数卵巢手术可通过盆腔镜完成。为防止对可疑病例进行盆腔镜干预，此处剖腹手术的指征必须放宽应用。
