临床小儿外科杂志2017，Vol.16Issue(5)：482-486,5.DOI:10.3969/j.issn.1671-6353.2017.05.015
经脐单孔腹腔镜手术治疗小婴儿卵巢囊肿的疗效分析
Treatment of infantile ovarian cyst by laparoscopic-assisted transumbilical extracorporeal cystectomy
摘要
Abstract
Objective To summarize the clinical experiences of 28 infants ovarian cysts treated by laparoscopic-assisted transumbilical extracorporeal cystectomy ( LATEC) in the last 4 years. Methods Twenty-eight neonatal and small infancy ovarian cysts were collected from June 2012 to June 2016. Retrospective analysis their clinical symptoms, discovery time, length of hospitalization, cyst size and nature, imaging characteristics, prenatal intervention, surgical treatment, postoperative pathological examination and follow-ups. Results The involved sides were unilateral (n=23) and bilateral (n=5). The monthly ages were <1 (n=11), 1-3 (n=11) and 3-6 (n=6). The manifestations included abdominal mass (n=27) and abdominal distension (n=1). 20 cases were found in fetal period, of which 1 case was treated by prenatal ultrasound guided cyst decompression. The average length of hospitalization was 7. 5 (4 -20) days. The sizes of ovarian cyst size were 4-5 cm (n=11), 5-10 cm (n=15) and >10 cm (n=2). All patients underwent laparoscopic-assisted transumbilical extracorporeal cystectomy ( LATEC) , including excision of ipsilateral appendectomy ( n=15) and simple cystectomy (n=13). The natures of ovarian cyst were simple (n=21), follicular (n=4) and serous (n=3). All 28 cases were cured and remained recurrence-free during follow-ups. Conclusion LATEC is both safe and effective for neonatal and infantile ovarian cysts. When abdominal cystic mass is larger than 5 cm or cysts fail to disappear and even expand further, surgery is required. When cyst size is<5 cm but its origin comes from ovary or other sites, exploratory surgery is indicated. For huge cysts in fetus, it is necessary to perform such a fetal mini-invasive procedure as puncture decompression.关键词
腹腔镜/卵巢囊肿/外科手术/婴儿,新生Key words
Laparoscopes/Ovarian Cysts/Surgical Procedures/Operative/Infant/Newborn引用本文复制引用
张文果,王大佳,张志波,苏朋俊,黄英,王维林,刘彩霞..经脐单孔腹腔镜手术治疗小婴儿卵巢囊肿的疗效分析[J].临床小儿外科杂志,2017,16(5):482-486,5.基金项目
国家自然科学基金(编号:81270436) （编号:81270436）
2014年公益性行业科研专项项目(编号:201402006) （编号:201402006）
国家临床重点学科建设项目(编号:GWBYH[2013]544) （编号:GWBYH[2013]544）
