CAJ | 학술논문

目的：：探索在儿童及妊娠、心肺功能异常人群中行悬吊式腹腔镜治疗巨大卵巢囊肿的可行性。方法：回顾性分析5年来实施的33例悬吊式腹腔镜治疗巨大卵巢囊肿患者的临床资料。结果：术中实测卵巢囊肿直径为12.9~23.3cm。33例患者手术中,卵巢囊肿剥出术27例,患侧附件切除术6例。平均手术时间(86.0±42.5)min,术中出血60.3±45.5ml,平均肛门排气时间(20.45±8.26)h,患者平均住院时间(6.13±2.34)d,术后24h 内均拔除尿管,术中及术后无并发症。患者术后病理报告与术中冰冻结果基本一致。结论：无气腹悬吊式腹腔镜技术开辟了特殊人群合并巨大卵巢囊肿的治疗新路。
목적：：탐색재인동급임신、심폐공능이상인군중행현조식복강경치료거대란소낭종적가행성。방법：회고성분석5년래실시적33례현조식복강경치료거대란소낭종환자적림상자료。결과：술중실측란소낭종직경위12.9~23.3cm。33례환자수술중,란소낭종박출술27례,환측부건절제술6례。평균수술시간(86.0±42.5)min,술중출혈60.3±45.5ml,평균항문배기시간(20.45±8.26)h,환자평균주원시간(6.13±2.34)d,술후24h 내균발제뇨관,술중급술후무병발증。환자술후병리보고여술중빙동결과기본일치。결론：무기복현조식복강경기술개벽료특수인군합병거대란소낭종적치료신로。
Objective:To explore the feasibility of suspensory laparoscopy in treatment of giant ovarian cyst in children, preg-nant women, and those with abnormal cardiopulmonary function. Methods:The clinical data of 33 cases with giant ovarian cyst treated by suspensory laparoscopy in the recent 5 years were retrospectively analyzed. Results: The intraoperative measurement of ovarian cyst was 12. 9 ~ 23. 3cm in diameter. In the 33 cases, 27 cases were given ovarian cyst stripping, 6 cases received adnexectomy with the af-fected side. The average operation duration was (86. 0±42. 5) min, intraoperative blood loss was (60. 3±45. 5) ml, average postoper-ative exhaust time was (20. 45±8. 26) h, and the average hospital stay was (6. 13±2. 34) d. All the catheters had been removed with-in 24 hours after operation. Intraoperative and postoperative complications did not occur. The Postoperative pathological result was con-sistent with the intraoperative frozen result basically. Conclusions: The gasless suspensory laparoscopy has emerged for the special groups with giant ovarian cyst.