1988年8月至1990年3月8例行开放式腹腔镜下的卵巢切除术和输卵管卵巢切除术的患者中6例为慢性盆腔疼痛(平均4.8年),其中的5例是子宫切除术后,经多种保守治疗无效;1例是输卵管卵巢异位妊娠;另一例是雌激素受体阳性的转移性乳癌。 Semm于1978年首先报道了腹腔镜下良性附件疾患的输卵管卵巢切除术,但由于需要一套庞大的仪器和卵巢的切碎使病理检查复杂化而在美国扩广较晚。由作者改良的Semm技术仅需要的是缝合器,或者加上一个高流量的充气器。采用开放式腹腔镜是在脐下行2～3 cm的横切口,筋膜比皮肤 Six of the eight patients undergoing open laparoscopic ovariectomy and tubal ovariectomy between August 1988 and March 1990 were chronic pelvic pain (average, 4.8 years), of whom 5 were post-hysterectomy , After a variety of conservative treatment ineffective; 1 case of ovarian tubal ectopic pregnancy; the other case is estrogen receptor-positive metastatic breast cancer. Semm first reported laparoscopic salpingo-oophorectomy in 1978 for laparoscopic benign appendage conditions, but was later extended in the United States due to the complications of a pathological examination that required a massive instrument and ovarian shunting. Semm’s technology, modified by the author, requires only a stapler, or a high-flow inflator. The use of open laparoscopic umbilical down 2 ~ 3 cm transverse incision, fascia than the skin