Rosen D M, Lam A M, Carlton M A, Cario G M
Sydney Women's Endosurgery Centre and St George Hospital, Department of Obstetrics and Gynaecology, University of New South Wales, Kogarah.
Aust N Z J Obstet Gynaecol. 1998 Feb;38(1):77-9. doi: 10.1111/j.1479-828x.1998.tb02964.x.
Whilst laparoscopic surgery has largely replaced laparotomy as the standard surgical option for the management of benign ovarian cysts, concern remains regarding the safety of laparoscopy for benign cystic teratomas. This is based on a higher rate of cyst content spillage compared to laparotomy and the known sequelae of chemical peritonitis and granuloma formation. We present 18 cases of laparoscopic dermoid cystectomy with recommendations for specimen removal from the peritoneal cavity. Our findings together with evidence from the literature confirms the safety of laparoscopy for the treatment of ovarian dermoid cysts.
虽然腹腔镜手术在很大程度上已取代剖腹手术，成为治疗良性卵巢囊肿的标准手术选择，但对于腹腔镜手术治疗良性囊性畸胎瘤的安全性仍存在担忧。这是基于与剖腹手术相比，囊肿内容物溢出率更高，以及已知的化学性腹膜炎和肉芽肿形成的后遗症。我们报告了18例腹腔镜皮样囊肿切除术，并提出了从腹腔取出标本的建议。我们的研究结果以及文献证据证实了腹腔镜手术治疗卵巢皮样囊肿的安全性。
