Morgante G, Ditto A, la Marca A, Trotta V, De Leo V
Siena University, Department of Gynecology and Obstetrics, Italy.
Eur J Obstet Gynecol Reprod Biol. 1998 Oct;81(1):47-50. doi: 10.1016/s0301-2115(98)00139-0.
To evaluate the efficacy of laparoscopic ovarian cystectomy and to compare the surgical course, post-surgical course and particularly post-surgical pain of the laparoscopic and laparotomic methods.
We conducted a surgical study on dermoid cysts at the Gynecology Department of Siena University between 1 January 1992 and 31 December 1996. The selected cases were randomized into two groups based on surgical approach: via laparotomy (n=22) or laparoscopy (n=22). Surgical times, estimated blood loss, post-surgical pain, time in hospital, speed of recovery and complications were compared.
Mean blood loss was significantly less for laparoscopy (58.64+/-30.17 ml versus 103.84+/-38.45 ml, P<0.05). Mean hospitalization was 6.32+/-1.09 days for laparotomy and 3.18+/-0.39 days for laparoscopy (P<0.05). Post-surgical pain was significantly less in laparoscopy patients (P<0.05). The laparoscopic technique had fewer post-surgical complications.
The laparoscopic approach had many advantages. Laparoscopy should be the elective treatment for women with dermoid cysts, because it has many advantages for the patient and lower costs for the national health system.
评估腹腔镜卵巢囊肿切除术的疗效，并比较腹腔镜手术与开腹手术的手术过程、术后恢复过程，尤其是术后疼痛情况。
1992年1月1日至1996年12月31日期间，我们在锡耶纳大学妇科对皮样囊肿进行了一项外科研究。根据手术方式将所选病例随机分为两组：开腹手术组（n = 22）和腹腔镜手术组（n = 22）。比较了手术时间、估计失血量、术后疼痛、住院时间、恢复速度和并发症情况。
腹腔镜手术的平均失血量显著较少（58.64±30.17毫升对103.84±38.45毫升，P<0.05）。开腹手术的平均住院时间为6.32±1.09天，腹腔镜手术为3.18±0.39天（P<0.05）。腹腔镜手术患者的术后疼痛明显较轻（P<0.05）。腹腔镜技术的术后并发症较少。
腹腔镜手术方法具有诸多优势。对于患有皮样囊肿的女性，腹腔镜手术应作为首选治疗方法，因为它对患者有很多优点，且对国家卫生系统成本较低。
