The Marchand Institute for Minimally Invasive Surgery, Mesa, AZ.
The Marchand Institute for Minimally Invasive Surgery, Mesa, AZ.
J Obstet Gynaecol Can. 2022 Aug;44(8):924-925.e1. doi: 10.1016/j.jogc.2021.01.020. Epub 2021 Feb 23.
An ovarian mucinous cystadenoma is a common benign tumour of the ovary that tends to reach very large sizes. Although traditional morcellation in the abdominal cavity is largely avoided in gynaecologic surgery, several authors have proposed other systems and techniques for the removal of large masses without resorting to laparotomy. We proposed an extremely minimally invasive technique to remove a large mass with a very low suspicion of malignancy, and created a video demonstration of the procedure. In this short film we illustrate our novel technique using only 2 laparoscopic ports, which maximizes both cosmesis and speed of recovery. The technique is not a completely closed system, therefore the potential for spreading an undiagnosed malignancy still exists. Accordingly, the authors do not suggest this technique for masses with a high potential for malignancy. However, in properly consented patients where there is very little suspicion for malignancy, our technique may be a reasonable option to promote fast recovery and provide excellent cosmesis.
卵巢黏液性囊腺瘤是一种常见的卵巢良性肿瘤，往往会生长到非常大的尺寸。尽管传统的剖腹手术中在妇科手术中已基本避免了碎取术，但仍有几位作者提出了其他系统和技术，用于在不进行剖腹手术的情况下切除大型肿块。我们提出了一种极其微创的技术来切除高度怀疑为恶性的大型肿块，并制作了该手术过程的视频演示。在这部短片中，我们仅使用 2 个腹腔镜端口展示了我们的新技术，这最大限度地提高了美容效果和恢复速度。该技术不是一个完全封闭的系统，因此仍有传播未确诊的恶性肿瘤的潜在风险。因此，作者不建议将该技术用于高度恶性肿瘤的肿块。但是，对于那些疑似恶性肿瘤的可能性很小且经过适当知情同意的患者，我们的技术可能是一个合理的选择，可以促进快速恢复并提供出色的美容效果。
