[1]王英红,郭晓青,赵霞.腹腔镜下卵巢上皮癌二次探查术的临床评价--附14例临床分析[J].中国微创外科杂志,2006,06(6):445-446.
　Wang Yinghong,Guo Xiaoqing,ZhaoXia..Laparoscopic second-look exploration for ovary epithelial cancer: A clinical analysis of 14 case[J].Chinese Journal of Minimally Invasive Surgery,2006,06(6):445-446.
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腹腔镜下卵巢上皮癌二次探查术的临床评价--附14例临床分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年6期
页码:
445-446
栏目:
出版日期:
2006-06-20

文章信息/Info

Title:
Laparoscopic second-look exploration for ovary epithelial cancer: A clinical analysis of 14 case
作者:
王英红; 郭晓青; 赵霞
石河子大学医学院第一附属医院妇科,石河子,832008
Author(s):
Wang Yinghong;  Guo Xiaoqing;  ZhaoXia.
Department of Obstetrics & Gynecology, First Affiliated Hospital of Shihezi University Medical College, Shihezi 832008, China
关键词:
腹腔镜; 卵巢癌; 二次探查术
Keywords:
Laparoscope; 　Ovary tumor; 　Second-look exploration
分类号:
R737.31
文献标志码:
A
摘要:
目的探讨腹腔镜下卵巢上皮癌二次探查术的可行性、可靠性及并发症. 方法 14例均采用全身麻醉. 6例取开放式切口,8例用闭合式腹腔镜进腹.按四孔法进行手术,生理盐水冲洗盆腹腔,冲洗液送细胞学检查;探查盆腹腔,分离粘连,在盆腹腔约20处多点活检. 结果 14例均按照手术前计划完成二次探查手术,手术时间(61.3±16.7)min,出血(98.7±32.1)ml.手术发现4 例 (28.6%)阳性,其中肉眼阳性3 例(21.4%),镜检阳性1 例(7.1%);其余10例(71.4%)阴性.4 例"二探术"阳性的卵巢癌患者,手术发现肿瘤位于盆腔腹膜、结肠旁沟腹膜;所有病例无腹腔脏器损伤,无中转开腹,仅有1例行开放式腹腔镜者脐部切口延迟愈合.10 例二探术阴性者中有1例(10.0%) 发生肿瘤复发,复发时间为48个月. 结论进行腹腔镜下卵巢上皮癌二次探查术是可行的,具有创伤小、恢复快、病人易于接受等优点.
Abstract:
Objective　To investigate the feasibility, reliability, and complications of laparoscopic second-look exploration for ovary epithelial cancer.　M ethods　The operationwas performed under general anaesthesia. The 4-port laparoscopywas carried out. Physiological salinewas used towash the abdominal and pelvic cavity for cytological examination. Then the exploration of abdominal and pelvic cavitywas performed, adhesionswere dissected, andmultiple punch biopsies (atmore than 20 sites) were conducted in the abdominal and pelvic cavity.　Results　All the operationswere completed successfully. The operative timewas61·3±16·7min, and the hemorrhage volumewas 98. 7±32. 1 m.l Positive findings were encountered in 4 cases (28·6% ), 3 ofwhich (21·4% ) were identified by the naked eye and 1 ofwhichwas identified bymicroscope, and negative findings, 10 cases (71·4% ). Of the 4 cases of positive findings, the tumor was located at the pelvic peritoneum or the paracolic sulci peritoneum. No abdominal organ injuries occurred, and no conversion to open surgerywas needed. Delayed healing ofumbilical incision happened in 1 case. Of the 10 cases of negative findings, recurrence of tumorwas observed in 1 case (10·0% ) at48 months after operation.　Conclusions　Laparoscopic second-look exploration for ovary epithelial cancer is feasible, with advantages ofminimal invasion, fast recovery, and good patient’s tolerance.

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更新日期/Last Update: 2014-01-27