Hicks-Courant Katherine, Awtrey Christopher S, Kim Young Bae
Department of Obstetrics & Gynecology, University of Pennsylvania, Philadelphia, PA, United States.
Department of Obstetrics & Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, United States.
Gynecol Oncol Rep. 2020 Feb 17;32:100536. doi: 10.1016/j.gore.2020.100536. eCollection 2020 May.
Large cystic ovarian tumors usually require surgical removal because of symptoms and the possibility of malignancy. The ideal surgical approach would minimize the risk of spillage of tumor contents while minimizing surgical morbidity. The present study aims to demonstrate a novel technique to drain large cystic ovarian tumors without spillage. A mini-laparotomy is performed and the tumor surface is exposed. Dermabond Advanced™ (USA Medical and Surgical Supplies 2019a) is applied to the tumor and a surgical glove (USA Medical and Surgical Supplies 2019b) is applied to the glue area. A small incision is made in the center of the portion of the glove that is adherent to the tumor. The cyst fluid is allowed to drain into the glove where it is suctioned away, collapsing the tumor. Once the tumor is sufficiently decompressed, it is exteriorized and resected with the glove still attached. The technique was initially developed in a pig model and subsequently successfully performed by mini-laparotomy on two patients with >20 cm ovarian masses. This novel technique uses inexpensive and readily available materials for draining large cystic ovarian tumors without spillage so that they can be removed via mini-laparotomy.
大型卵巢囊肿性肿瘤通常因症状及恶变可能性而需要手术切除。理想的手术方法应在将手术发病率降至最低的同时，使肿瘤内容物溢出的风险降至最低。本研究旨在展示一种不发生溢漏地引流大型卵巢囊肿性肿瘤的新技术。进行小切口剖腹术并暴露肿瘤表面。将Dermabond Advanced™（美国医疗和外科用品公司，2019a）涂于肿瘤上，并在涂胶区域套上一只手术手套（美国医疗和外科用品公司，2019b）。在手套贴附于肿瘤的部分中央做一个小切口。使囊液排入手套并在该处吸除，使肿瘤塌陷。一旦肿瘤充分减压，将其外置并在手套仍附着的情况下切除。该技术最初在猪模型中研发，随后通过小切口剖腹术成功应用于两名患有直径>20 cm卵巢肿物的患者。这种新技术使用廉价且易于获取的材料来无溢漏地引流大型卵巢囊肿性肿瘤，以便能通过小切口剖腹术将其切除。
