Jiang Lili, Zhao Xinyu, Han Yue, Liu Kuiran, Meng Xinyue
Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.
Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China.
Front Oncol. 2021 Dec 9;11:796330. doi: 10.3389/fonc.2021.796330. eCollection 2021.
Ovarian cysts are very common diseases of the female reproductive system. Giant ovarian cysts refer to the tumors with diameters greater than 10 cm. In recent years, due to the development of clinical diagnosis, imaging modalities, and the improvement of patients' cognition of the diseases, the occurrence of giant ovarian cysts has become rare. The purpose of this study was to show a new operation method of single-port laparoscopy to treat giant ovarian cysts.
We report a case series of five patients with giant ovarian cysts who underwent single-port laparoscopic surgery in the gynecology department of the Shengjing Hospital of China Medical University between June 2020 and March 2021. The inclusion criteria were ovarian cysts at least 20 cm in diameter, and cases when the tumor might be malignant were excluded.
The patients' mean age was 26.2years. The most common clinical presentation was progressive abdominal distension. Median size of the cysts at imaging was 39.2 cm (range 21-63 cm). All patients underwent single-port laparoscopic surgery, and none of them converted to laparotomy. On final pathological reports, two cysts were serous cystadenomas, and three were mucinous cystadenomas. All patients recovered well and were discharged on time.
Giant ovarian cysts can be treated by single-port laparoscopic surgery. In addition to the well-known advantages of laparoscopic surgery (e.g., small pelvic interference, fast postoperative recovery), it can also play the role of perfect cosmetic results, which has more advantages for young women.
卵巢囊肿是女性生殖系统非常常见的疾病。巨大卵巢囊肿是指直径大于10cm的肿瘤。近年来，由于临床诊断、影像学检查手段的发展以及患者对疾病认知的提高，巨大卵巢囊肿的发生率已变得罕见。本研究的目的是展示一种单孔腹腔镜治疗巨大卵巢囊肿的新手术方法。
我们报告了一组病例，2020年6月至2021年3月期间在中国医科大学附属盛京医院妇科接受单孔腹腔镜手术的5例巨大卵巢囊肿患者。纳入标准为直径至少20cm的卵巢囊肿，排除肿瘤可能为恶性的病例。
患者的平均年龄为26.2岁。最常见的临床表现是进行性腹胀。影像学检查囊肿的中位大小为39.2cm（范围21 - 63cm）。所有患者均接受了单孔腹腔镜手术，无一例转为开腹手术。最终病理报告显示，2例囊肿为浆液性囊腺瘤，3例为黏液性囊腺瘤。所有患者恢复良好并按时出院。
巨大卵巢囊肿可通过单孔腹腔镜手术治疗。除了腹腔镜手术众所周知的优点（如对盆腔干扰小、术后恢复快）外，它还能起到完美的美容效果，对年轻女性更具优势。
