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[妇产] 腹腔镜下输卵管卵巢切除术(切除卵巢和输卵管)

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发表于 2013-3-6 12:43:52 | 显示全部楼层 |阅读模式

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腹腔镜下输卵管卵巢切除术(切除卵巢和输卵管)
Laparoscopic salpingoophorectomy (removal of ovaries and fallopian tubes)

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一个视频短片,说明进行腹腔镜切除卵巢和输卵管,在约翰拉德克利夫医院的牛津大学。腹腔镜卵巢切除术是手术切除的卵巢通过锁孔切口,切除的卵巢一起当双侧卵巢和两个输卵管中除去的,术语双侧输卵管卵巢切除术(BSO)使用,当它是需要除去卵巢由于如疾病,通常是进行卵巢切除术被称为与输卵管输卵管卵巢切除术。卵巢囊肿或子宫内膜异位症。非正常患病的卵巢,有时也作为预防程序,以防止卵巢癌,在以后的生活中删除。这是特别适合有家族病史的妇女,卵巢癌和/或与遗传多态性,如BRCA1/BRCA2(A“癌基因”)。操作涉及什么?去除卵巢和输卵管及其相关规定,卵巢被解剖周围结构。卵巢动脉被密封和切割,和附件的其余部分,然后除以。卵巢然后通常从腹部通过腹腔镜(锁孔)端口之一除去。
A short video demonstrating laparoscopic removal of the ovaries and fallopian tubes, performed at the John Radcliffe Hospital Oxford.

Laparoscopic oophorectomy is the surgical removal of an ovary through keyhole incisions.

The removal of an ovary together with the fallopian tube is called salpingo-oophorectomy.

When both ovaries and both Fallopian tubes are removed, the term bilateral salpingo-oophorectomy (BSO) is used.

When it is necessary to remove the ovary?
Oophorectomy is usually performed because of diseases such as ovarian cysts or endometriosis.
Normal non diseased ovaries are sometimes also removed as a prophylactic procedure to prevent ovarian cancer later in life. This is particularly appropriate in women with a family history of ovarian cancer and/or with genetic polymorphisms such as BRCA1/BRCA2 (A "cancer gene").

What does the operation involve?
Removal of the ovary and its associated fallopian tube requires the ovary to be dissected free of surrounding structures. The ovarian artery is sealed and cut, and the remainder of the attachments are then divided. The ovary is then usually removed from the abdomen through one of the laparoscopic (keyhole) ports.
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