Ikuma K, Shiotani T, Shibahara H
Department of Obstetrics and Gynecology, Takarazuka Municipal Hospital, Hyogo.
Nihon Sanka Fujinka Gakkai Zasshi. 1993 Nov;45(11):1305-12.
We previously devised and reported a laparoscopic resection of benign ovarian cysts. In the present paper, we report precautions and improvements in the procedure and the application of the mini-laparotomy. 1. The subjects consisted of a total of 41 cases with preoperatively diagnosed cysts. These were 17 cases with simple cysts, 15 cases with dermoid cysts, and nine cases with chocolate cysts. The present surgical procedure was performed on 34 (83%) cases. 2. One case, preoperatively diagnosed as a chocolate cyst, was diagnosed as an endometrioid adenocarcinoma. 3. Laparotomy was required in 7 cases; in four as a result of hard adhesions, in one because it was impossible to withdraw fluid, in one due to a damaged urinary bladder and in one due to endometrioid adenocarcinoma. 4. It became essential to classify the ovarian cysts into three groups according to size. 5. Mini-laparotomy was performed for two giant ovarian cysts and five ovarian cysts in pregnant women. In this procedure the goal is minimal, simple, safe and reliable surgery with results equal to those of standard laparotomy.
我们之前设计并报道了一种腹腔镜下良性卵巢囊肿切除术。在本文中，我们报告了该手术的注意事项、改进之处以及迷你剖腹术的应用。1. 研究对象共有41例术前诊断为囊肿的患者。其中单纯囊肿17例，皮样囊肿15例，巧克力囊肿9例。34例（83%）患者接受了当前的手术操作。2. 1例术前诊断为巧克力囊肿的患者，术后被诊断为子宫内膜样腺癌。3. 7例患者需要进行剖腹手术；4例是由于粘连严重，1例是因为无法抽出囊液，1例是由于膀胱受损，1例是因为子宫内膜样腺癌。4. 根据大小将卵巢囊肿分为三组变得至关重要。5. 对2例巨大卵巢囊肿和5例孕妇的卵巢囊肿进行了迷你剖腹术。在该手术中，目标是进行最小化、简单、安全且可靠的手术，其结果与标准剖腹术相当。
