Pelosi M A, Pelosi M A
Pelosi Women's Medical Center, 350 Kennedy Boulevard, Bayonne, NJ 07002, USA.
J Am Assoc Gynecol Laparosc. 1996 May;3(3):413-7. doi: 10.1016/s1074-3804(96)80073-9.
The surgical removal of extremely large abdominopelvic masses is associated with a high perioperative complication rate related to massive physiologic and anatomic distortions. The judicious use of minimally invasive techniques in carefully selected patients may diminish the convalescent stresses inherent to laparotomy. We removed a 103-pound benign, ovarian mucinous cystadenoma from a 22-year-old woman by laparoscopy. We believe this is the largest such tumor removed by this method, and it raises several issues relevant to the intraoperative and perioperative management of such neoplasms. Systematic laparoscopic drainage and excision of extremely large, benign, abdominopelvic tumors is not only feasible, but is a reproducible, safe, low-morbidity alternative to initial laparotomy in the treatment of these rare lesions.
切除极大的腹盆腔肿物的手术与因巨大生理和解剖结构改变而导致的高围手术期并发症发生率相关。在经过精心挑选的患者中明智地使用微创技术，可能会减轻剖腹手术固有的康复压力。我们通过腹腔镜为一名22岁女性切除了一个重达103磅的良性卵巢黏液性囊腺瘤。我们认为这是通过该方法切除的最大的此类肿瘤，它引发了一些与这类肿瘤的术中及围手术期管理相关的问题。系统性腹腔镜引流和切除极大的良性腹盆腔肿瘤不仅可行，而且在治疗这些罕见病变方面，是一种可重复、安全、低发病率的替代初始剖腹手术的方法。
