Saha Rachana, Karki Chanda
Department of Obstetrics and Gynecology, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2013 Oct-Dec;52(192):608-11.
Laparoscopic surgery is one of the most common procedures performed for benign ovarian masses. The aim of the study was to analyze all benign ovarian masses treated laparoscopically to assess safety, feasibility and outcome.
A prospective study was carried out at Kathmandu Medical College Teaching Hospital, Sinamangal, Nepal. All the patients undergoing laparoscopic surgery for benign ovarian masses from 1st January 2012 to 31st December 2012 were included in the study. The pre-operative findings, intra-operative findings, operative techniques and post-operative complications were analyzed.
Thirty-six patients were taken for the study. Two cases were excluded since intra-operatively they were tubo-ovarian masses. The most common tumor was dermoid cyst (n=13; 38.23%) and endometriotic cyst (n=14; 41.17%). Out of 34 cases, five cases of endometriotic cyst (14.70%) were converted to laparotomy due to severe adhesions and four cases of endometriotic cyst underwent deroofing surgery. Two cases underwent laparoscopic assisted vaginal hysterectomy with bilateral salphingo-oopherectomy. Successful cystectomies were carried out in 22 cases. None were malignant. Major complications were not noted while minor complications like port-site infection (n=3; 8.82%) and subcutaneous emphysema (n=1; 2.9%) were present.
Laproscopic management of benign ovarian masses is safe and feasible.
腹腔镜手术是治疗良性卵巢肿块最常见的手术之一。本研究的目的是分析所有接受腹腔镜治疗的良性卵巢肿块，以评估其安全性、可行性和治疗效果。
在尼泊尔辛纳芒加尔的加德满都医学院教学医院进行了一项前瞻性研究。纳入了2012年1月1日至2012年12月31日期间所有接受腹腔镜手术治疗良性卵巢肿块的患者。分析了术前检查结果、术中发现、手术技术和术后并发症。
36例患者纳入研究。2例术中发现为输卵管卵巢肿块被排除。最常见的肿瘤是皮样囊肿（n = 13；38.23%）和子宫内膜异位囊肿（n = 14；41.17%）。34例中，5例子宫内膜异位囊肿（14.70%）因严重粘连改为开腹手术，4例子宫内膜异位囊肿行囊肿剥顶术。2例行腹腔镜辅助阴式子宫切除术加双侧输卵管卵巢切除术。22例成功进行了囊肿切除术。均无恶性病变。未发现严重并发症，但存在轻微并发症，如穿刺孔感染（n = 3；8.82%）和皮下气肿（n = 1；2.9%）。
腹腔镜治疗良性卵巢肿块安全可行。
