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目的探讨腹腔镜手术治疗巨大卵巢囊肿的手术技巧。方法 2005-06-2011-02对44例巨大卵巢囊肿行腹腔镜下囊肿剥除术。将脐部切口扩至20mm,在囊肿表面作一荷包缝合,自荷包内小切口置吸引管吸尽囊内液,提拉囊肿出腹壁切口,尽可能切除囊肿壁以缩小囊肿,切口缝扎闭合囊肿放回腹腔,再在腹腔镜下进行囊肿剥除。结果 44例均在腹腔镜下完成手术,无手术并发症,44例术后随诊2～24个月,无复发且患者无不适。结论腹腔镜下巨大卵巢囊肿剥除术是一种安全、可靠,适合于临床上广泛开展应用的手术方式。
Objective To investigate the surgical technique of laparoscopic surgery for giant ovarian cysts. Methods A total of 44 cases of giant ovarian cysts underwent laparoscopic cyst excision. The umbilical incision was expanded to 20mm, making a purse suture on the surface of the cyst, placing a suction tube to suck the cyst fluid from the small incision in the purse, pulling the cyst out of the abdominal wall incision, resecting the cyst wall to reduce the cyst as much as possible, incising and closing the incision Cysts back into the abdominal cavity, and then laparoscopic cyst removal. Results All the 44 cases underwent laparoscopic surgery without complications, and 44 cases were followed up for 2 to 24 months. No recurrence and no discomfort were found. Conclusions Laparoscopic ablation of giant ovarian cysts is a safe, reliable and suitable surgical method widely used clinically.