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首页> 外文期刊>Surgical Endoscopy >Isobaric gasless laparoscopic myomectomy for removal of large uterine leiomyomas.
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Isobaric gasless laparoscopic myomectomy for removal of large uterine leiomyomas.

机译：等压无气腹腔镜子宫肌瘤切除术用于切除大子宫平滑肌瘤。

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BACKGROUND: This study aimed to evaluate the feasibility and safety of isobaric laparoscopic removal of large myomas (> or = 8 cm) using the Laparotenser, a subcutaneous abdominal wall-lifting system. METHODS: A series of 63 consecutive patients with at least one large symptomatic subserosal or intramural uterine myoma (> or = 8 cm) underwent an isobaric gasless laparoscopic myomectomy. Conventional laparotomy instruments were used. RESULTS: The procedure was successfully completed for all 63 consecutive patients. The average size of the dominant myoma was 11 cm. The mean number of myomas removed from each patient was 3.6. The mean blood loss was 143 ml, and the mean operating time was 72 min. No intraoperative complication occurred. CONCLUSIONS: Gasless laparoscopic myomectomy for the removal of large myomas using the Laparotenser is feasible and safe. It offers several advantages over laparoscopy with pneumoperitoneum.
机译：背景：本研究旨在评估腹腔镜腹壁提拉系统腹腔镜腹腔镜（Laparotenser）等压腹腔镜切除大肌瘤（≥8 cm）的可行性和安全性。方法：一系列63例连续患者，至少有一个大型症状性浆膜下或壁内子宫肌瘤（>或= 8 cm），接受了等压无气腹腔镜子宫肌瘤切除术。使用常规的剖腹手术器械。结果：该程序已成功完成所有63位连续患者。优势肌瘤的平均大小为11厘米。从每个患者中去除的肌瘤的平均数量为3.6。平均失血量为143毫升，平均手术时间为72分钟。术中无并发症发生。结论：无气腹腔镜子宫肌瘤切除术使用腹腔高压器切除大肌瘤是可行和安全的。与腹腔镜气腹相比，它具有多个优势。

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