Dubuisson J B, Aubriot F X, Henrion R
J Gynecol Obstet Biol Reprod (Paris). 1985;14(1):105-9.
In this article we describe our experience with the first cases on which we have carried out laparoscopic salpingectomy. We have done this in 31 cases for, in 25 cases, tubal pregnancy and, in 6 cases hydrosalpinx. We describe the technique and results. The laparoscopic technique seemed to us to be especially indicated in cases of ectopic pregnancy when the decision to carry out salpingectomy was taken particularly when it was a second pregnancy in the same tube, or when the pregnancy occurred in a pathological tube or had already been operated on or where the tubal pregnancy had burst. It is also, whatever the reason for the salpingectomy, an alternative treatment of choice in the sterile woman who wants later to have IVF because it is less likely to cause parietal and pelvic adhesions.
在本文中,我们描述了我们开展腹腔镜输卵管切除术的首例病例的经验。我们共进行了31例手术,其中25例为输卵管妊娠,6例为输卵管积水。我们介绍了手术技术和结果。我们认为,腹腔镜技术特别适用于异位妊娠病例,尤其是当决定进行输卵管切除术时,特别是同一侧输卵管第二次妊娠,或妊娠发生在病变输卵管,或该输卵管已接受过手术,或输卵管妊娠已破裂的情况。此外,无论进行输卵管切除术的原因是什么,对于日后想要进行体外受精的不育女性而言,这也是一种可供选择的治疗方法,因为它导致腹壁和盆腔粘连的可能性较小。