摘要
目的:探讨改良经脐单孔腹腔镜手术治疗巨大卵巢囊肿的可行性及安全性。方法:收集2020年1月至2020年12月在南昌大学第一附属医院妇产科行改良经脐单孔腹腔镜囊肿剥除术或附件切除术的20例巨大卵巢囊肿患者的临床病例资料，并对患者进行随访。结果:所有20例患者均成功完成改良经脐单孔腹腔镜手术，无一例中转开腹及另外增加穿刺孔，无一例囊液外溢，均无术中及术后并发症发生。手术时间94.95±19.23 min，术中出血量59.50±35.61 ml，肿瘤最大径线12.60±4.91 cm，术后住院时间3.55±0.60 d，术后肛门排气时间1.55±0.51 d，术后24 h疼痛评分2.10±0.55分，患者满意度4.75±0.44分。所有患者切口愈合良好，对手术效果满意度较高，术后随访6个月均未出现复发。结论:在对患者病情进行充分术前评估后改良经脐单孔腹腔镜下手术治疗巨大卵巢囊肿安全可行，且具有创伤小，切口美观等优势。
Abstract
Objective:To analyze the feasibility and safety of modified transumbilical single-port laparoscopic surgery for huge ovarian cyst.Methods:Clinical data of 20 patients with giant ovarian cysts who underwent modified transumbilical single-port laparoscopic surgery at Department of Gynecology and Obstetrics, the first affiliated hospital of Nanchang University from Jan. 2020 to Dec. 2020 were collected, and the patients were followed up.Results:All 20 cases of modified transumbilical single-port laparoscopic surgery were successfully completed without laparotomy, additional puncture, cystic fluid leakage and intraoperative or postoperative complications. The average operative time was 94.95 ± 19.23 minutes, the average intraoperative blood loss was 59.50 ± 35.61 ml, the average maximum longitude of tumor was 12.60±4.91 cm, the average length of hospital stay postoperation was 3.55±0.60 days, the average time of gastrointestinal function recovery postoperation was 1.55 ± 0.51 days, the pain score 24 hours after surgery was 2.10 ± 0.55 points and patient satisfaction was 4.75 ± 0.44 points. All the patients had good wound healing and high satisfaction with the surgical results. No recurrence occurred in 6 months follow-up.Conclusions:After full preoperative evaluation of the patient′s condition, modified transumbilical single-port laparoscopic surgery for huge ovarian cyst may be safe and feasible, and has the advantages of small trauma and beautiful incision.
万方数据