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腹腔镜子宫肌瘤切除术——手术技术的重要性。

Laparoscopic myomectomy - The importance of surgical techniques.

作者信息

Dumitrașcu Mihai Cristian, Nenciu Cătălin-George, Nenciu Adina-Elena, Călinoiu Amalia, Neacșu Adrian, Cîrstoiu Monica, Șandru Florica

机构信息

Department of Obstetrics and Gynecology, "Carol Davila" University of Medicine and Pharmacy, University Emergency Hospital of Bucharest, Bucharest, Romania.

Department of Obstetrics and Gynecology, University Emergency Hospital of Bucharest, Bucharest, Romania.

出版信息

Front Med (Lausanne). 2023 Mar 20;10:1158264. doi: 10.3389/fmed.2023.1158264. eCollection 2023.

Abstract

Laparoscopy is a routine procedure for benign gynecological tumors. Although the laparoscopic approach for myomas is a common procedure, it can be challenging. To improve outcomes, research regarding port access, suture type, morcellation, and complication management remains ongoing. Myomectomy is the main surgical option for patients seeking uterus-sparing procedures to maintain future fertility. The laparoscopic technique is the most important in these cases, given that possible complications can impact fertility and pregnancy outcomes. Herein, we reviewed and collated the available data regarding different suture techniques, including advantages, difficulties, and possible long-term impacts.

摘要

腹腔镜检查是妇科良性肿瘤的常规手术。虽然腹腔镜下子宫肌瘤手术是一种常见手术,但仍具有挑战性。为了改善手术效果,关于穿刺孔入路、缝合类型、肌瘤粉碎术及并发症处理的研究仍在进行中。子宫肌瘤切除术是寻求保留子宫以维持未来生育能力的患者的主要手术选择。鉴于可能的并发症会影响生育能力和妊娠结局,腹腔镜技术在这些病例中最为重要。在此,我们回顾并整理了有关不同缝合技术的现有数据,包括其优点、难点及可能的长期影响。

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