Intraperitoneal ultrasound scan by culdotomy before laparoscopic ovarian resection: a novel approach
Intraperitoneal ultrasound scan by culdotomy before laparoscopic ovarian resection: a novel approach
复制标题
DOI：
10.1080/13645706.2020.1815063
复制
发表时间：
2020-09-03
影响因子：
1.7
通讯作者：
Ghezzi, Fabio
中科院分区：
文献类型：
--
作者：
Lagana, Antonio Simone;Garzon, Simone;Ghezzi, Fabio
我们描述了一种新的技术，腹腔镜卵巢切除术前，腹膜内超声扫描后穹窿切开术。为了在浆液性交界性卵巢肿瘤复发时保留卵巢实质，通过后阴道切开术将常规的经阴道超声探头引入腹腔，用无菌袋覆盖。用盐水溶液填充骨盆，并进行超声成像，以识别肿瘤边缘。在精确的切除术后，肿瘤通过后阴道切开术被输送到内袋内。这种新方法可能是一种可行、有效且廉价的技术，用于指导复杂和/或小型卵巢肿瘤的腹腔镜手术。
We describe a novel technique of intraperitoneal ultrasound scan by culdotomy before laparoscopic ovarian resection. To preserve the ovarian parenchyma in a recurrence of serous borderline ovarian tumor, a usual transvaginal ultrasound probe was introduced into the abdominal cavity, covered by a sterile bag, through posterior colpotomy. The pelvis was filled with saline solution and the ultrasound imaging was performed allowing the identification of tumor margins. After precise cystectomy, the tumor was delivered within the endo bag, through the posterior colpotomy. This new approach may be a feasible, effective and cheap technique to guide laparoscopic surgery for complex and/or small ovarian tumors.