腹腔镜卵巢囊肿切除术治疗 32 厘米单纯性囊肿,Journal of Minimally Invasive Gynecology

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腹腔镜卵巢囊肿切除术治疗 32 厘米单纯性囊肿
Journal of Minimally Invasive Gynecology ( IF 3.5 ) Pub Date : 2020-11-01 , DOI: 10.1016/j.jmig.2020.08.613
K.E. Goldrath , C.R. Tilley , S. Yu

研究目的展示对 32 cm 大的良性盆腔囊肿进行腹腔镜卵巢囊肿切除术的成功例子，以避免增加这种大小肿块的典型剖腹探查方法所涉及的发病率。该视频重点介绍了微创技术，包括如何在腹腔镜下将主要套管针放置到囊肿中，演示安全的腹膜后解剖以进行膀胱切除术，并回顾了大型盆腔囊肿的组织提取。设计一个 6 分钟的视频，回顾了对一个大的、简单的 32 厘米盆腔囊肿进行腹腔镜卵巢囊肿切除术的分步演示。手术是在门诊手术室进行的，患者在全身麻醉下，采用低位截石术，双臂夹在两侧。患者或参与者 31 岁未生育女性，无明显既往医疗或手术史，出现 32 厘米大的单纯性卵巢囊肿，无相关体征或与恶性肿瘤一致的客观数据。干预措施经腹腔镜成功切除 32 cm 单纯性卵巢囊肿测量和主要结果恶性肿瘤。通过充分的培训和适当的患者选择，与标准剖腹探查方法相比，微创手术通常会导致患者恢复时间更快，发病率更低。

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Laparoscopic Ovarian Cystectomy for a 32 Cm Simple Cyst

Study Objective To demonstrate a successful example of performing a laparoscopic ovarian cystectomy of a large 32 cm benign pelvic cyst to avoid increased morbidity involved with typical exploratory laparotomy approach for this size mass. This video highlights minimally invasive techniques including how to enter laparoscopically with primary trocar placement directed into the cyst, demonstrates safe retroperitoneal dissection to perform cystectomy, and reviews tissue extraction for a large pelvic cyst. Design A 6-minute video reviewing step-by-step demonstration of a laparoscopic ovarian cystectomy of a large, simple, 32 cm pelvic cyst. Setting Surgery was performed in an outpatient surgical operating room with the patient under general anesthesia, positioned in low lithotomy with both arms tucked along her sides. Patients or Participants 31-year-old nulligravid female with no significant past medical or surgical history presented with a large 32 cm simple ovarian cyst with no concerning signs or objective data consistent with malignancy. Interventions Successful resection and removal of a 32 cm simple ovarian cyst via laparoscopy Measurements and Main Results N/A Conclusion Laparoscopic ovarian cystectomy can be considered as a feasible approach for young females with a large simple adnexal cyst and no concerning signs or objective data consistent with malignancy. With adequate training and appropriate patient selection, a minimally invasive procedure would typically result in faster recovery time and less morbidity for a patient compared to the standard exploratory laparotomy approach.

更新日期：2020-11-01

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