Objective:To investigate the improved method of managing residual ovarian parenchyma in laparoscopic giant ovarian cystectomy,evaluate the effect of improved method on the ovarian function. Methods:From June 2004 to April 2010,we reviewed data related to 30 patients with giant ovarian cysts who underwent laparoscopic ovarian cystectomy using the method that was firstly piercing the cyst and sucking the cyst fluid,secondly stripping the cyst wall and bipolar electrocoagulation the cyst bed immediately,finally consecutively suturing the edges of residual ovarian parenchyma to be connivent and suturing the cyst bed like bookbinding.30 patients who underwent laparoscopic giant ovarian cystectomy with interrupted suturing of residual ovarian parenchyma were choosed as control group. Results:All the surgerys were accomplished successfully under laparoscopy.No complication happened in all patients.The mean operation time was(75.8±8.9) min and the mean intraoperative blood loss was(36.5±8.7) ml in experimental group,lower than control group(P0.05).There were no significant differences for preoperative or postoperative level of gonadal hormone in both groups(P0.05). Conclusion:Laparoscopic giant ovarian cystectomy is safe and feasible.The improved method can simplify the operation,decrease the operation time,reduce the intraoperative blood loss,while without influencing the ovarian function.It is worth applying and generalizing in clinic.
Objective:To explore the advantages,disadvantages,and safeties of laparoscopy and laparotomy for treatment of patients with tubal pregnancy. Methods:A total of 90 patients with tubal pregnancy were selected as study objects,including 53 patients receiving laparoscopy(laparoscopy group) and 37 patients receiving laparotomy(laparotomy group);the operation times,the amounts of blood loss during operation,the mean temperatures within three days after operation,the anal exhausting times,the postoperative times leaving beds,the total hospitalization times,the intraoperative and postoperative complications in the two groups were observed. Results:The amount of blood loss during operation,the mean temperature within three days after operation,the anal exhausting time,the postoperative time leaving beds,the hospitalization expense,and the total hospitalization time in laparotomy group were statistically significantly longer(higher) than those in laparoscopy group,but the operation time in laparoscopy group was statistically significantly longer than that in laparotomy group(P0.05).In laparotomy group,the blood β-human chorionic gonadotropin(β-HCG) levels of two patients didn't decrease after operation,then they returned to normal levels after drug treatment. Conclusion:The advantages of laparoscopy for treatment of tubal pregnancy include rapid recovery and minimal invasion,but the expense is high,the total clinical curative effect of laparoscopy is superior to laparotomy.
