|
|
|
| Curative effect analysis of laparoscopic combined with small left lower abdominal incision surgery and laparotomy for treating giant ovarian cysts |
| The First Hospital of Wuhan, Wuhan, Hubei Province, 430022 |
|
|
|
Abstract To explore the efficacy of laparoscopic combined with small left lower abdominal incision and laparotomy in the surgical treatment of the giant ovarian cysts. Methods: The clinical data of 80 patients with giant ovarian cysts who had been treated from January 2012 to December 2019 were analyzed retrospectively. Among them, 40 patients who underwent laparoscopic combined left lower abdominal small incision surgery for treating their giant ovarian cysts were included in the experimental group, and 40 patients who underwent laparotomy for treating their giant ovarian cysts were included in the control group. The operation time, the intraoperative blood loss, the cyst fluid leakage rate, the postoperative exhaust time, the first getting out of bed time, the intraoperative and postoperative complications rates, and the postoperative hospital stay time of the patients were analyzed and were compared between the two groups. Results: The operation time (82min), the postoperative exhaust time (9.0h), the first getting out of bed time (12.5± 1.9h), and the postoperative hospitalization time (5.0d) of the patients in the experimental group were significantly lower than those (102min, 21.0h, 22.8± 1.7h, and 8.0d) of the patients in the control group. The intraoperative blood loss (30ml), the cyst fluid leakage rate (7.5%), the rate of intraoperative and postoperative complications (5.0%) of the patients in the experimental group had no significantly different from those (30ml, 5.0%, and 12.5%) of the patients in the control group. Conclusion: For the reasonable screened patients with giant ovarian cysts, comparing with those of laparotomy in the treatment of giant ovarian tumors, laparoscopy combined with small left lower abdominal incision has smaller laparotomy, shorter operation time, faster postoperative recovery, and has the similar rate of cyst fluid leakage, which preliminarily confirms the advantages of laparoscopy combined with small left lower abdominal incision for treating the gynecological giant cysts.
|
|
|
|
|
|
|
|
|
