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采用单孔腹腔镜手术(SILS)技术为一名孕妇实施输卵管旁囊肿切除术。

Paratubal Cystectomy in a Pregnant Woman Using the Single-Incision Laparoscopic Surgery (SILS) Technique.

作者信息

Nelson Luke William, MacKenzie Elliot

机构信息

Dunedin Public Hospital, 201 Great King Street, Dunedin 9010, New Zealand.

出版信息

Case Rep Obstet Gynecol. 2022 Jul 14;2022:2802767. doi: 10.1155/2022/2802767. eCollection 2022.

Abstract

INTRODUCTION

The proliferation of prenatal ultrasound has enhanced the detection of adnexal masses during pregnancy. The presentation necessitates a clear approach to investigation and treatment that balances both maternal and fetal risk. Laparoscopy is a safe approach to surgical management in the pregnant patient, and SILS may contribute to minimising perioperative complications. . We present the case of a 21-year-old female in her second trimester of pregnancy presenting with a large 20 cm right adnexal cyst. We proceeded with laparoscopic cystectomy via the SILS technique. There were no intraoperative complications, and she recovered well postoperatively.

CONCLUSION

Laparoscopic resection of adnexal lesions is safe during pregnancy and should be favoured over the open approach. SILS minimises incision sites and has potential for reduction in perioperative morbidity.

摘要

引言

产前超声检查的普及提高了孕期附件包块的检出率。这种情况需要一种明确的检查和治疗方法,以平衡母体和胎儿的风险。腹腔镜检查是孕妇手术管理的一种安全方法,单孔腹腔镜手术可能有助于减少围手术期并发症。我们报告一例21岁处于妊娠中期的女性,其右侧附件有一个20厘米的大囊肿。我们通过单孔腹腔镜手术技术进行了腹腔镜囊肿切除术。术中无并发症,术后恢复良好。

结论

孕期腹腔镜切除附件病变是安全的,应优先于开放手术。单孔腹腔镜手术减少了切口部位,有可能降低围手术期发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d342/9303160/622b2bdbda5a/CRIOG2022-2802767.001.jpg

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