治疗小儿良性卵巢病变:腹腔镜手术与开腹修复术的单一机构回顾性研究。

IF 1.1 4区 医学 Q3 SURGERY
Nicole Chicoine, Niloufar Hafezi, Victoria Sanchez, Victoria Elliott, Brian Gray
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引用次数: 0

摘要

背景:小儿卵巢良性病变复发或发展为晚期病变的风险各不相同,因此手术方法也不尽相同。我们的研究比较了不同手术方法的疗效,以更好地阐明复发或近端病变的风险、发生这些病变的时间以及住院时间,从而确定一种手术方法是否具有更好的疗效。方法:我们回顾性研究了印第安纳大学医疗机构2002年至2020年的数据。研究对象包括年龄小于18岁、接受过卵巢良性病变手术治疗的患者。患者被分为接受卵巢切除术和卵巢保留手术(OSS)两类,手术方法有开腹和腹腔镜两种。显著性定义为 P <.05。结果:我们确定了 127 名患者,他们分别接受了开腹手术(n = 65)和腹腔镜手术(n = 55)。接受开腹手术的患者病灶平均大小更大(P = .05),住院时间更长(P < .01)。两组患者的并发症发生率(P = .1)、术后病变复发率(P = .47)和形成其他病变的时间相似(P = .25)。术后发现额外病变的发生率为 14.2%(n = 18),平均时间为 29.5 ± 31.6 个月 [SEM 7.5]。无论采用哪种手术方式,出现并发病灶的风险都相似。因复发性卵巢病变而进行手术的情况很少见,仅有 1 例。结论:腹腔镜手术适用于较小的病灶,住院时间较短。与传统的开腹手术和卵巢切除术相比,腹腔镜手术和卵巢切除术不会增加罹患并发症的风险,也不会增加再次手术的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Treating Benign Ovarian Lesions in the Pediatric Population: A Single Institution's Retrospective Investigation of Laparoscopy Versus Open Repair.

Background: Benign ovarian lesions in the pediatric population have variable risk of recurrence or development of metachronous lesions, leading to variations in operative approach. Our study compares outcomes with differing surgical approaches to better elucidate risk of recurrent or metachronous lesions, time to development of these lesions, and hospital length of stay to determine if one operative approach has superior outcomes. Methods: We retrospectively examined data from Indiana University Health facilities from 2002 to 2020. Patients ≤18 years old who underwent surgical management of a benign ovarian lesion were included. Patients were categorized as undergoing oophorectomy versus ovarian sparing surgery (OSS), with open and laparoscopic approaches. Significance was defined as P < .05. Results: We identified 127 patients who underwent an open (n = 65) versus laparoscopic (n = 55) surgical approach. Patients undergoing open surgery had a greater mean size of lesion (P = .05) and longer length of stay (P < .01). Complication rates (P = .1), rates of developing a metachronous or recurrent lesion postoperatively (P = .47), and time to formation of additional lesions were similar between groups (P = .25). The incidence of identifying an additional lesion after surgery was 14.2% (n = 18) in the mean time of 29.5 ± 31.6 months [SEM 7.5]. Risk of developing a metachronous lesion was similar regardless of the operative approach. Surgery for recurrent ovarian lesions was rare and occurred in only 1 case. Conclusions: Laparoscopic surgery was performed for smaller lesions and was associated with a shorter length of hospital stay. Laparoscopic and OSS was found to have no increased risk of developing metachronous lesions nor increased reoperative risk compared with traditional open and oophorectomy techniques.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
163
审稿时长
3 months
期刊介绍: Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.
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