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Management of Ovarian Dermoid Cysts by Laparoscopy Compared With Laparotomy

机译：腹腔镜与剖腹术相比较卵巢皮样囊肿的处理

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Thirty patients with ovarian dermoid cysts removed by laparoscopic surgery were compared with 42 patients with ovarian dermoid cysts removed by laparotomy, with respect to the selection criteria, surgical procedures, operating time, intraoperative and postoperative complications, blood loss, and hospital stay. Although the operating time for unilateral cystectomy, unilateral salpingo-oophorectomy, and bilateral cystectomy performed by laparoscopic surgery was longer (120.3 ± 43.7 min, mean ± SD) than those for the same procedures performed by laparotomy (73.9 ± 21.6 min,p< 0.01), we observed a learning curve with a remarkable declining tendency (linear regression model,p< 0.01). At the end of this study, the times taken for laparoscopic procedures were almost the same as those for laparotomy. Less blood loss (18.2 ± 1.7 ml versus 105.9 ± 84.3 ml,p< 0.01) and shorter hospital stay (5.9 ± 1.9 days versus 12.0 ± 2.9 days,p< 0.01) were also found to be advantages of laparoscopic surgery. This article discusses the technical procedures of laparoscopic surgery. The efficiency and safety of operative laparoscopy as an alternative access route for the management of ovarian dermoid cysts were recognized. We stress that strict criteria for selection of patients should always be followed and the necessity of retraining schedules for gynecologists and nursing staff in the speciality of laparoscopic surgery.
机译：在选择标准，手术程序，手术时间，术中和术后并发症，失血量以及住院时间方面，对30例经腹腔镜手术切除的卵巢皮肤样囊肿与42例经剖腹手术切除的卵巢皮肤样囊肿患者进行了比较。尽管通过腹腔镜手术进行单侧膀胱切除术，单侧输卵管卵巢切除术和双侧膀胱切除术的手术时间比开腹手术的相同手术时间（73.9±21.6 min，p <0.01）长（120.3±43.7 min，平均值±SD） ），我们观察到一条学习曲线具有明显的下降趋势（线性回归模型，p <0.01）。在这项研究结束时，腹腔镜手术所花费的时间与剖腹手术所花费的时间几乎相同。较少的失血量（18.2±1.7 ml对105.9±84.3 ml，p <0.01）和较短的住院时间（5.9±1.9天对12.0±2.9天，p <0.01）也是腹腔镜手术的优势。本文讨论了腹腔镜手术的技术程序。腹腔镜手术作为治疗卵巢皮样囊肿的一种替代途径的效率和安全性得到认可。我们强调，应始终遵循严格的患者选择标准，并且必须对腹腔镜手术专业的妇科医生和护理人员进行重新培训。

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