Dubuisson J B, Aubriot F X, Cardone V
Fertil Steril. 1987 Feb;47(2):225-8. doi: 10.1016/s0015-0282(16)49995-4.
This study presents 100 consecutive cases of total salpingectomy by laparoscopy for the treatment of ampullar ectopic pregnancy. A three-puncture technique was used, and the salpingectomy was done by thermocoagulation and transection of the isthmus, mesosalpinx, and tubo-ovarian ligament. Tubal extraction was accomplished by one of the suprapubic punctures with the use of a polyp forceps. No complications have been encountered during the operation. However, because of severe pelvic adhesions or a voluminous hematocele, laparotomy was used in two cases (2%). The only postoperative complication was a deep vein thrombosis in one of the patients. A second-look operation was performed in 36 cases, and good healing with no adhesion formation at or near the site of salpingectomy was found. This technique therefore appears to be simple, fast, and almost complication-free.
本研究呈现了100例连续的腹腔镜全输卵管切除术治疗壶腹部异位妊娠的病例。采用三孔穿刺技术，通过热凝和切断峡部、输卵管系膜及输卵管卵巢韧带进行输卵管切除术。通过耻骨上穿刺之一使用息肉钳完成输卵管取出。手术过程中未遇到并发症。然而，由于严重的盆腔粘连或大量血囊肿，2例（2%）患者采用了剖腹手术。唯一的术后并发症是1例患者发生深静脉血栓形成。36例患者进行了二次探查手术，发现输卵管切除部位或其附近愈合良好，无粘连形成。因此，该技术似乎简单、快速且几乎无并发症。
