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目的初步探讨悬吊式无气腹腹腔镜巨大子宫肌瘤切除术的可行性、安全性以及术后恢复情况;同时对悬吊式无气腹腹腔镜子宫肌瘤切除术的优劣进行文献复习。方法 2010年11月至2011年3月,3例有子宫肌瘤切除指征,直径≥10cm肌瘤患者,采用悬吊式无气腹腹腔镜及配套设备,行子宫肌瘤切除术,观察手术时间、术中出血量、切除肌瘤重量、排气时间、住院时间及并发症。结果 3例患者手术均成功,无术中、术后并发症发生,手术时间(88±11)min,术中出血量(743±251)ml,子宫肌瘤重量(320±80)g,排气时间(1.5±0.5)d,手术后3d均出院。结论悬吊式无气腹腹腔镜在子宫肌瘤切除术中是安全可靠的,具有手术时间短、缝合可靠的优点,特别适合在巨大肌瘤切除术中使用。但手术出血的问题依然值得关注。
Objective To investigate the feasibility, safety and postoperative recovery of giant pneumomatous myomectomy without pneumoperitoneal laparoscopy and to review the literature about the advantages and disadvantages of suspension pneumoperitoneum laparoscopic myomectomy . Methods From November 2010 to March 2011, 3 patients with myomectomy indications, diameter ≥ 10cm fibroids, using pneumoperitoneal laparoscopy and ancillary equipment, performed myomectomy and observed the operation Time, intraoperative blood loss, resection fibroid weight, exhaust time, hospital stay and complications. Results All the three patients were successful in operation. There was no intraoperative or postoperative complication. The operative time (88 ± 11) min, intraoperative blood loss (743 ± 251) ml, uterine fibroids weight (320 ± 80) g, Gas time (1.5 ± 0.5) d, 3d after surgery were discharged. Conclusion Laparoscopic pneumoperitoneum is safe and reliable in the myomectomy. It has the advantages of short operation time and reliable suture. It is especially suitable for the treatment of giant myomectomy. However, the problem of surgical bleeding is still worth noting.