Tan Yunpu,He Qiuming,Zhong Wei,et al.Laparoscopic aspirations for simple neonatal ovarian cysts: a short-term follow-up study[J].Journal of Clinical Pediatric Surgery,,20():1169-1173.[doi:10.12260/lcxewkzz.2021.12.013]
Laparoscopic aspirations for simple neonatal ovarian cysts: a short-term follow-up study
- Keywords:
- Ovarian Cysts; Laparoscopy; Suction/MT; Treatment Outcome; Infant; Newborn
- CLC:
- R711.75;R722.1
- Abstract:
- Objective Currently surgical consensus is lacking for simple neonatal ovarian cysts larger than 4 cm.Traditional view holds that ovary should be preserved and cystectomy is an ideal choice.As demonstrated by some recent studies, it is safe, simple and effective to perform cyst puncture and drainage alone by laparoscopy.The goal of this study was to explore the effectiveness and safety of laparoscopic assisted aspiration for neonatal ovarian cysts.Methods From April 2019 to April 2020, 6 neonates diagnosed as simple ovarian cyst fulfilling the inclusion criteria underwent laparoscopic assisted cyst aspiration.Clinical data were collected and analyzed.Results The involved side was all right.The average operative age was (12.0±10.8) days and the average body weight (3390±410) grams.There were 2 premature and 4 full-term infants.The average largest diameter of cyst was (62.2±24.9) mm.Laparoscopic-assisted aspiration of cyst was performed and there was one case of torsion.Under the guidance of laparoscopy, cyst was thoroughly drained and ovary preserved.The average operative duration was 32.5(25-80) min, the average volume of blood loss 1 ml and the average postoperative hospital stay (2.7±0.5) days.All of them recovered with a successful postoperative discharge.Favorable cyst regression occurred within (2-8) months.Ultrasound indicated that all ovaries regained a normal size (≤ 2 cm).No cyst recurrence, torsion, death or other related complications was observed during follow-ups.Conclusion For simple neonatal ovarian cyst with a diameter >4 cm, laparoscopic cyst aspiration is simple, safe and effective.It is worthy of a wider popularization.
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Memo
收稿日期:2021-02-05。
通讯作者:何秋明,Email:qiuminghe@foxmail.com