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为评估卵巢肿瘤应用腹腔镜二次探查(LSSL)和开腹手术二次探查(LTSL)的可行性、可靠性和并发症进行研究。1992年1月～1996年2月Curie医院20例卵巢癌接受手术治疗后辅以化疗,并在完全缓解后(术后6个月)进行LSSL,之后紧接着施行比较性的LTSL。两种手术均于解除粘连后彻底探查盆腹腔,并施以系统的腹腔细胞学检查和活检。 结果:LTSL和LSSL相比,两种操作方法所需的平均手术时间大至相同(66min:68min)。完全分
To evaluate the feasibility, reliability and complications of laparoscopic second exploration (LSSL) and second exploratory laparotomy (LTSL) for ovarian tumors. From January 1992 to February 1996, 20 ovarian cancer patients at Curie Hospital were treated with surgery and supplemented with chemotherapy. After complete remission (6 months after surgery), LSSL was performed, followed by comparative LTSL. Both operations performed a thorough exploration of the pelvic cavity after the release of adhesions, and were subjected to systematic abdominal cytology and biopsy. RESULTS: Compared to LSSL, the two procedures required the same average operative time (66 min: 68 min). Completely divided