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腹腔镜器械和技术的改进改善了腹腔镜腹部手术对盆腔肿块的处理,一些经腹部切口不能取出的肿块,经激光或电烙法行阴道切开术可取出。作者报道自1991年8月至1992年5月应用腹腔镜切除53例盆腔肿块中,17例通过阴道切开新技术摘出肿块,因肿块实性且大或是需要避免囊肿内容物溢入腹腔。 患者年龄21～75岁,体重105～175磅。术前均经肠道准备。患者取截石位,全麻下手术,均行气管插管。每例用四个穿刺部位:第一根10mm套针在脐
Laparoscopic instruments and techniques to improve the laparoscopic abdominal surgery to improve the treatment of pelvic mass, some of the abdominal incision can not remove the mass, the laser or electrocautery vaginal incision can be removed. The authors report that from August 1991 to May 1992 laparoscopic resection of 53 cases of pelvic mass, 17 cases by vaginal incision of new technology to remove the mass, because the mass is solid and large or need to avoid cyst contents overflow into the abdominal cavity. Patients aged 21 to 75 years old, weighing 105 to 175 pounds. Preoperative bowel preparation. Patients take lithotomy position, under general anesthesia surgery, tracheal intubation. For each case with four puncture site: the first 10mm trocar in the umbilical