Reich H
Int J Fertil. 1987 May-Jun;32(3):233-6.
Laparoscopic oophorectomy or salpingo-oophorectomy was performed in 24 women using bipolar coagulation followed by scissors division of the infundibulopelvic ligament, the utero-ovarian ligament, and the broad ligament. Indications were pelvic pain secondary to ovarian adhesions from previous hysterectomy (nine cases, four with palpable masses), pelvic pain secondary to ovarian endometrioma (six cases, three with endometrioma greater than 10 cm); postmenopausal palpable ovary (five cases); pelvic mass secondary to dermoid cyst (one case); pelvic pain and mass secondary to large hydrosalpinx and ovarian endometrioma (two cases), and bilateral ovarian ablation for autoimmune disease (one case). There were no intraoperative or late complications. Relative safety of the procedure is acknowledged, with emphasis placed on meticulous surgical technique and knowledge of retroperitoneal anatomy.
对24名女性实施了腹腔镜卵巢切除术或输卵管卵巢切除术，采用双极电凝，随后用剪刀分离漏斗骨盆韧带、子宫卵巢韧带和阔韧带。手术指征包括：既往子宫切除术后卵巢粘连继发盆腔疼痛（9例，4例可触及肿块）；卵巢子宫内膜异位症继发盆腔疼痛（6例，3例子宫内膜异位症大于10 cm）；绝经后可触及卵巢（5例）；皮样囊肿继发盆腔肿块（1例）；巨大输卵管积水和卵巢子宫内膜异位症继发盆腔疼痛和肿块（2例）；以及自身免疫性疾病的双侧卵巢消融（1例）。术中及术后均无并发症。该手术的相对安全性得到认可，强调手术技术要精细以及熟悉腹膜后解剖结构。
