Ulubay Mustafa, Keskin Uğur, Fidan Ulaş, Ozturk Mustafa, Karaca Rıza, Yüksel Beril, Yenen Müfit C, Ergun Ali
1 Obstetrics and Gynecology Department, Gulhane Military Medical Academy and Medical School , Etlik, Ankara, Turkey .
J Laparoendosc Adv Surg Tech A. 2015 Feb;25(2):143-6. doi: 10.1089/lap.2014.0497. Epub 2015 Jan 26.
To determine whether controlled drilling, cyst excision, and removal in a bag can reduce the operative time and intraperitoneal spillage in dermoid cysts.
Laparoscopic dermoid cyst excision was performed in 45 women using a different technique: controlled drilling of dermoid cysts in a bag, excision of these cysts, and their removal in the same bag.
The median age of the patients was 29.5 years (range, 18-42 years), the median size of the cysts was 55 mm (range, 30-100 mm), the median operative time was 40 minutes (range, 25-60 minutes), the median level of cancer antigen 19-9 was 28.5 U/mL (range, 1.2-127 U/mL), the median parity was 1 (range, 0-3), and the median hospitalization time was 1 day (range, 1-2 days). Twenty-five cysts were in the right ovary, and 20 were in the left ovary. In all cases, the dermoid cysts were ruptured with the controlled drilling. There was no intraperitoneal spillage of the cyst contents in the abdomen. No complication occurred intraoperatively or postoperatively. There was no recurrence 3 months after the operation.
Controlled drilling, excision, and removal of a dermoid cyst inside the same bag seems to be a feasible method to prevent intraperitoneal spillage and to reduce the operative time.
确定在袋内进行控制性钻孔、囊肿切除及取出操作是否能减少皮样囊肿的手术时间和腹腔内溢出。
对45名女性进行腹腔镜下皮样囊肿切除术，采用不同技术：在袋内对皮样囊肿进行控制性钻孔、切除这些囊肿并在同一袋内取出。
患者的中位年龄为29.5岁（范围18 - 42岁），囊肿的中位大小为55 mm（范围30 - 100 mm），中位手术时间为40分钟（范围25 - 60分钟），癌抗原19 - 9的中位水平为28.5 U/mL（范围1.2 - 127 U/mL），中位产次为1（范围0 - 3），中位住院时间为1天（范围1 - 2天）。25个囊肿位于右卵巢，20个位于左卵巢。在所有病例中，通过控制性钻孔使皮样囊肿破裂。腹腔内无囊肿内容物溢出。术中及术后均未发生并发症。术后3个月无复发。
在同一袋内对皮样囊肿进行控制性钻孔、切除及取出似乎是预防腹腔内溢出和减少手术时间的一种可行方法。
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