Lozada Yolianne, Bhagavath Bala
Department of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, New York.
Department of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, New York.
J Minim Invasive Gynecol. 2017 Mar-Apr;24(3):364-370. doi: 10.1016/j.jmig.2016.12.014. Epub 2016 Dec 24.
Hysterectomy is the most frequently performed major gynecologic surgery in women in the United States. This procedure is often accompanied by unilateral or bilateral removal of the fallopian tubes and ovaries. Although the overall incidence of bilateral salpingo-oophorectomy has been shown to be in a decreasing trend in recent years, it is possibly 1 of the most common scenarios that the gynecologic surgeon will encounter. As the field of minimally invasive surgery continues to expand, it is expected that most of these surgeries will be performed using a laparoscopic approach. In fact, data support that adnexal surgery is more likely to take place during a laparoscopic hysterectomy when compared with abdominal or vaginal routes. This article reviews the basic surgical principles and relevant anatomic relations that every pelvic surgeon should know and aims to serve as a guide for effectively and proficiently performing a salpingo-oophorectomy at the time of hysterectomy.
子宫切除术是美国女性中最常施行的大型妇科手术。该手术通常会伴有单侧或双侧输卵管及卵巢切除术。尽管近年来双侧输卵管卵巢切除术的总体发生率呈下降趋势，但这可能是妇科外科医生最常遇到的情况之一。随着微创手术领域不断扩大，预计这些手术中的大多数将采用腹腔镜手术方式进行。事实上，数据表明与经腹或经阴道手术途径相比，附件手术更有可能在腹腔镜子宫切除术中进行。本文回顾了每位盆腔外科医生都应了解的基本手术原则及相关解剖关系，旨在为在子宫切除术中有效且熟练地施行输卵管卵巢切除术提供指导。
