1例女性盆腔巨大包块单孔腹腔镜手术病例报告

A Case Report of Single Hole Laparoscopic Operation on a Large Pelvic Mass in a Female

摘要: 卵巢囊腺瘤是来源于卵巢上皮的良性肿瘤，分为浆液性囊腺瘤和粘液性囊腺瘤两种。卵巢良性肿瘤早期多无症状，常常为患者自感腹围增大或出现压迫症状来就诊。卵巢良性肿瘤的发病与环境、遗传等因素有关，其组织分型较为复杂，部分病灶存在恶化的风险，对女性的身体健康和生活质量存在影响，对卵巢良性肿瘤多采取临床介入治疗。目前卵巢良性肿瘤介入治疗方式主要为外科手术剔除病灶组织，常见手术方式包括传统开腹手术、腹腔镜手术等。近期，我们采用腹腔镜单孔手术切除1例女性盆腔巨大包块，术中盆腔严重粘连，术后恢复情况较好，现报道如下。

Abstract: Ovarian cystadenoma is a benign tumor originating from the epithelium, which is divided into two types: serous cystadenoma and mucous cystadenoma. Ovarian benign tumors are mostly asymptomatic in the early stage, and often come to the clinic for patients with self-perceived abdominal circumference enlargement or compression symptoms. The incidence of ovarian benign tumors is related to environmental, genetic and other factors, and its tissue classification is relatively complex, and some lesions are at risk of deterioration, which has an impact on women’s health and quality of life. Clinical interventional treatment is often used for ovarian benign tumors. At present, the main interventional treatment for benign ovarian tumors is surgical removal of focal tissue, and common surgical methods include traditional open surgery and laparoscopic surgery. Recently, we performed laparoscopic single-hole surgery to remove a huge pelvic mass in a female patient. During the operation, the pelvic cavity was seriously adhered to, and the postoperative recovery was good, as reported below.