PDF(Pubmed)
Abstract：
UNASSIGNED: This report summarizes the characteristics of a series of 8 recent (2020-2022) patients with abdominal wall endometriosis (AWE) who underwent laparoscopic surgery. The feasibility and advantages of laparoscopy in the treatment of AWE are set out.
UNASSIGNED: The clinical data of the 8 AWE patients were retrospectively analysed. Basic clinical characteristics, operation details and postoperative details were collected and analysed.
UNASSIGNED: Laparoscopic treatment was successful in all 8 cases. The mean operation time was 212.13 ± 48.16 min, the mean estimated blood loss was 25.00 ± 11.18 ml, and the mean postoperative hospital stay was 5.25 ± 1.39 days. 7 of the patients were found to have concomitant pelvic endometriosis, and 1 patient was found to have concealed inguinal hernias during surgery. Concomitant laparoscopic surgery for pelvic lesions was performed, including electrocautery or lesion resection of the pelvic endometriosis lesions in 7 patients, uterine fibroidectomy in 2 patients, high ligation of the hernia sac in 1 patient and endometrial biopsy under hysteroscopy in 1 patient. Endometrial-like tissue was confirmed by postoperative pathological examination of resected AWE lesions in all patients. There were no intraoperative or postoperative complications. The mean follow-up time was 18.75 ± 3.96 months, and no recurrence of AWE was found.
UNASSIGNED: Laparoscopic surgery is a safe, effective and feasible treatment option for AWE patients and has the advantages of simultaneous diagnosis and treatment of other pelvic lesions.
UNASSIGNED: The clinical data of the 8 AWE patients were retrospectively analysed. Basic clinical characteristics, operation details and postoperative details were collected and analysed.
UNASSIGNED: Laparoscopic treatment was successful in all 8 cases. The mean operation time was 212.13 ± 48.16 min, the mean estimated blood loss was 25.00 ± 11.18 ml, and the mean postoperative hospital stay was 5.25 ± 1.39 days. 7 of the patients were found to have concomitant pelvic endometriosis, and 1 patient was found to have concealed inguinal hernias during surgery. Concomitant laparoscopic surgery for pelvic lesions was performed, including electrocautery or lesion resection of the pelvic endometriosis lesions in 7 patients, uterine fibroidectomy in 2 patients, high ligation of the hernia sac in 1 patient and endometrial biopsy under hysteroscopy in 1 patient. Endometrial-like tissue was confirmed by postoperative pathological examination of resected AWE lesions in all patients. There were no intraoperative or postoperative complications. The mean follow-up time was 18.75 ± 3.96 months, and no recurrence of AWE was found.
UNASSIGNED: Laparoscopic surgery is a safe, effective and feasible treatment option for AWE patients and has the advantages of simultaneous diagnosis and treatment of other pelvic lesions.
摘要：
■本报告总结了最近接受腹腔镜手术的8例（2020-2022年）腹壁子宫内膜异位症（AWE）患者的特征。阐述了腹腔镜治疗AWE的可行性和优势。
■对8例AWE患者的临床资料进行回顾性分析。基本临床特征,收集和分析手术细节和术后细节。
■腹腔镜治疗8例均成功。平均手术时间为212.13±48.16min,平均估计失血量为25.00±11.18ml，术后平均住院时间为5.25±1.39天。其中7例患者同时患有盆腔子宫内膜异位症，1例患者在手术中发现隐匿性腹股沟疝。同时进行盆腔病变的腹腔镜手术，包括电灼术或盆腔子宫内膜异位症病灶切除7例，子宫肌瘤切除术2例，疝囊高位结扎术1例，宫腔镜下子宫内膜活检1例。所有患者经手术切除AWE病灶术后病理检查证实为子宫内膜样组织。术中、术后均无并发症发生。平均随访时间为18.75±3.96个月,未发现AWE复发。
■腹腔镜手术是安全的，AWE患者的治疗选择是有效可行的，具有同时诊断和治疗其他盆腔病变的优势。
■对8例AWE患者的临床资料进行回顾性分析。基本临床特征,收集和分析手术细节和术后细节。
■腹腔镜治疗8例均成功。平均手术时间为212.13±48.16min,平均估计失血量为25.00±11.18ml，术后平均住院时间为5.25±1.39天。其中7例患者同时患有盆腔子宫内膜异位症，1例患者在手术中发现隐匿性腹股沟疝。同时进行盆腔病变的腹腔镜手术，包括电灼术或盆腔子宫内膜异位症病灶切除7例，子宫肌瘤切除术2例，疝囊高位结扎术1例，宫腔镜下子宫内膜活检1例。所有患者经手术切除AWE病灶术后病理检查证实为子宫内膜样组织。术中、术后均无并发症发生。平均随访时间为18.75±3.96个月,未发现AWE复发。
■腹腔镜手术是安全的，AWE患者的治疗选择是有效可行的，具有同时诊断和治疗其他盆腔病变的优势。
