Pretorius R G, Matory W E, LaFontaine D
Department of Obstetrics and Gynecology, Kaiser Permanente Medical Center, San Diego, California.
Surg Gynecol Obstet. 1989 Dec;169(6):532-6.
Two patients with massive ovarian tumors, one with a 51 kilogram Stage IC mucinous cystadenocarcinoma and the other with a 34 kilogram mucinous cystadenoma, are presented. Problems associated with resection of massive ovarian tumors, including respiratory failure, intraoperative fluid shifts, adequate exposure, orthostatic hypotension and adynamic intestine, are identified. Guidelines for avoiding these pitfalls by the use of appropriate monitoring, controlled drainage of the cyst and transverse elliptic incision with abdominoplasty are suggested.
本文介绍了两名患有巨大卵巢肿瘤的患者，一名患有51公斤的IC期黏液性囊腺癌，另一名患有34公斤的黏液性囊腺瘤。确定了与巨大卵巢肿瘤切除术相关的问题，包括呼吸衰竭、术中液体转移、充分暴露、体位性低血压和肠麻痹。建议通过适当的监测、囊肿的控制性引流以及采用腹部整形术的横向椭圆形切口来避免这些陷阱的指南。
