Schwartz R O, Martin J B
South Med J. 1985 Nov;78(11):1341-3. doi: 10.1097/00007611-198511000-00019.
In selective cases operative laparoscopic salpingectomy is an alternative to laparotomy in the surgical treatment of ectopic pregnancy. The obvious advantages of this procedure are decreased morbidity and surgical pain, lower cost, shorter hospitalization and convalescence, and less disability, as well as a cosmetic surgical scar. Because the procedure is so cost-effective, and since the tools are familiar to most gynecologists, we hope it will gain wider utilization. Laparoscopic salpingectomy is not a difficult procedure when the basic principles of surgery are followed. Depending on the fertility desires of the patient and the condition of the opposite tube, this procedure may be preferable to laparotomy. If a complication such as bleeding does occur and fails to respond to cauterization, laparotomy can be done as usual for an ectopic pregnancy.
在某些选择性病例中，腹腔镜输卵管切除术是异位妊娠手术治疗中剖腹手术的一种替代方法。该手术的明显优势包括发病率降低、手术疼痛减轻、成本降低、住院和康复时间缩短、残疾程度减轻，以及手术疤痕美观。由于该手术性价比高，且大多数妇科医生对相关工具都很熟悉，我们希望它能得到更广泛的应用。遵循手术基本原则时，腹腔镜输卵管切除术并非困难的手术。根据患者的生育意愿和对侧输卵管的状况，该手术可能比剖腹手术更可取。如果发生出血等并发症且烧灼止血无效，可像处理异位妊娠一样照常进行剖腹手术。
