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单孔腹腔镜手术治疗孕期附件肿物:单中心的初步经验

Single-Port Laparoscopic Surgery for Adnexal Mass Removal During Pregnancy: The Initial Experience of a Single Institute.

作者信息

Han Ling, Wan Qi, Chen Yali, Zheng Ai

机构信息

Department of Obstetrics and Gynecology, West China Second Hospital, Sichuan University, Chengdu, China.

Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan University, Chengdu, China.

出版信息

Front Med (Lausanne). 2022 Feb 15;8:800180. doi: 10.3389/fmed.2021.800180. eCollection 2021.

DOI:10.3389/fmed.2021.800180
PMID:35242767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8886140/
Abstract

OBJECTIVE

Single-port laparoscopy has become a feasible and safe approach for the management of benign adnexal masses during pregnancy. To our knowledge, there are few reports on the feasibility and safety of single-port laparoscopy for adnexal mass removal during pregnancy. Our study reports the use of single-port laparoscopy in adnexal mass removal during pregnancy in our hospital.

METHODS

We included 10 cases of single-port laparoscopic surgery for adnexal mass removal during pregnancy in the West China Second University Hospital between January 2017 and March 2020. Median values were found using SPSS20. When the -value was <0.05, the median and interquartile range were used. All patients provided informed consent.

RESULTS

The following median values were recorded: surgical time, 112.50 min; blood loss, 25 ml; postoperative hospital stay, 3 days; postoperative pain [visual analog scale (VAS)] at 6 h, 3; and postoperative pain (VAS) at 24 h, 2. Our study reported no postoperative spontaneous abortions. There was one preterm birth.

CONCLUSION

Single-port laparoscopy appears to be safe for both the mother and the fetus.

摘要

目的

单孔腹腔镜已成为孕期处理良性附件肿块的一种可行且安全的方法。据我们所知,关于单孔腹腔镜在孕期切除附件肿块的可行性和安全性的报道较少。我们的研究报告了我院在孕期采用单孔腹腔镜切除附件肿块的情况。

方法

我们纳入了2017年1月至2020年3月期间在华西第二医院接受单孔腹腔镜手术切除孕期附件肿块的10例患者。使用SPSS20软件计算中位数。当P值<0.05时,使用中位数和四分位数间距。所有患者均签署了知情同意书。

结果

记录到以下中位数:手术时间112.50分钟;出血量25毫升;术后住院时间3天;术后6小时疼痛视觉模拟评分(VAS)为3分;术后24小时疼痛(VAS)为2分。我们的研究报告中无术后自然流产情况。有1例早产。

结论

单孔腹腔镜对母亲和胎儿似乎都是安全的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba7b/8886140/c156a478848f/fmed-08-800180-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba7b/8886140/c156a478848f/fmed-08-800180-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba7b/8886140/c156a478848f/fmed-08-800180-g0001.jpg

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