Albini S M, Benadiva C A, Haverly K, Luciano A A
Department of Obstetrics and Gynecology, University of Connecticut Health Center, Farmington, Connecticut, USA.
J Am Assoc Gynecol Laparosc. 1994 May;1(3):219-22. doi: 10.1016/s1074-3804(05)81013-8.
To determine the outcomes of laparoscopic management of benign ovarian cystic teratomas (dermoids) compared with traditional laparotomy and excision.
A retrospective analysis of patients treated from October 1988 to May 1993.
University of Connecticut Health Center-affiliated hospitals.
Thirty-eight women with dermoid cysts that were managed either by laparotomy or laparoscopy, 19 matched patients in each group. The majority of lesions in both groups were diagnosed at routine pelvic examination.
The two groups were assessed with respect to age, gravidy, parity, size of lesions, and estimated blood loss at surgery.
Two values were significantly different in the group treated by laparoscopy: more dermoids ruptured intraoperatively, and the mean hospital stay was significantly shorter (p</=0.01). In most cases cystectomy was performed with preservation of the involved ovary. After a mean follow-up of 11 months no complications such as severe chemical granulomatous peritonitis or persistent pelvic pain have been encountered in the laparoscopy group.
Laparoscopic management of dermoids is safe and cost effective, and provides patients the benefit of a shorter hospital stay and recovery time.
确定与传统剖腹手术及切除相比，腹腔镜治疗良性卵巢囊性畸胎瘤（皮样囊肿）的效果。
对1988年10月至1993年5月接受治疗的患者进行回顾性分析。
康涅狄格大学健康中心附属医院。
38例患有皮样囊肿的女性，分别接受了剖腹手术或腹腔镜手术治疗，每组19例匹配患者。两组中的大多数病变都是在常规盆腔检查时诊断出来的。
对两组患者的年龄、妊娠次数、产次、病变大小和手术估计失血量进行评估。
腹腔镜治疗组有两个值存在显著差异：术中更多皮样囊肿破裂，平均住院时间显著更短（p≤0.01）。在大多数情况下，行囊肿切除术时保留了受累卵巢。腹腔镜组平均随访11个月后，未出现严重化学性肉芽肿性腹膜炎或持续性盆腔疼痛等并发症。
腹腔镜治疗皮样囊肿安全且具有成本效益，能让患者受益于更短的住院时间和恢复时间。
