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目的 探讨电视腹腔镜下行卵巢良性畸胎瘤手术的方式及适应症 ,预防和减少肿瘤破裂及并发症。方法 对 2 8例卵巢良性畸胎瘤病人在电视腹腔镜下行瘤体内反复注射热盐水 ,吸出瘤体内内容物后再行瘤体剥除术。结果 2 8例良性畸胎瘤手术均在腹腔镜下完成 ,无 1例中转开腹 ,平均手术时间 5 8min ,平均术中出血 80ml,无皮下气肿 ,术后出血 ,脏器损伤及化学性腹膜炎或肉芽肿形成。结论 改良后的术式完成可防止瘤体破裂 ,内容物外溢 ,术式是完全可行的
Objective To explore the methods and indications of laparoscopic benign ovarian teratoma surgery to prevent and reduce tumor rupture and complications. Methods Twenty-eight patients with benign ovarian teratoma were injected with hot saline repeatedly in the laparoscopic surgery of the TV, and then the tumor was removed after the tumor contents were aspirated. Results Twenty-eight cases of benign teratoma were performed in laparoscopic operation. None of the patients underwent laparoscopic surgery. The average operation time was 58 minutes and the mean intraoperative bleeding was 80 ml. No subcutaneous emphysema, postoperative bleeding, organ damage and chemical Peritonitis or granuloma formation. Conclusion Improved surgical procedures to prevent the rupture of the tumor, the contents of spill, surgery is entirely feasible