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目的:探讨经脐单通道腹腔镜辅助治疗小儿卵巢囊肿的可行性及安全性。方法:回顾性分析2011年6月~2012年12月9例单侧卵巢囊肿经脐单通道腹腔镜辅助行囊肿剔除+切除术的临床疗效。结果:所有患儿均经单通道腹腔镜辅助顺利完成手术。1例复杂型(囊性畸胎瘤)行卵巢切除术,8例(右侧5例,左侧3例)单纯型行卵巢囊肿剔除术,双极电凝创面止血,连续缝合卵巢残缘。平均手术时间(40±25)min,术后住院时间3~5天,无并发症发生,全部患儿术后随访1~2.5年,未见复发。结论:经脐单通道腹腔镜辅助治疗小儿卵巢囊肿是一种安全、可行的手术方法,术中尽可能保留卵巢残留组织,具有创伤小、手术时间短、住院天数短、术后并发症少、美观等优点,值得临床推广应用。
Objective: To investigate the feasibility and safety of trans-umbilical single-channel laparoscopy in the treatment of pediatric ovarian cysts. Methods: A retrospective analysis of 9 cases of unilateral ovarian cysts from June 2011 to December 2012 by transnasal laparoscopy assisted cyst excision + resection clinical efficacy. Results: All children underwent single-channel laparoscopic surgery to successfully complete the operation. One case of complicated cystic teratoma underwent ovariectomy. Eight cases (5 on the right and 3 on the left) were treated with ovarian cyst excision. The average operation time (40 ± 25) min, postoperative hospital stay of 3 to 5 days, no complications, all children were followed up for 1 ~ 2.5 years, no recurrence. Conclusion: The single-pass laparoscopic trans-umbilical laparoscopic treatment of children with ovarian cysts is a safe and feasible surgical method, the surgery as much as possible to retain the residual tissue of the ovary, with less trauma, shorter operative time, shorter hospital stay, fewer postoperative complications, Beautiful and other advantages, it is worth promoting clinical application.