TIẾN BỘ TRONG PHẪU THUẬT NỘI SOI U BUỒNG TRỨNG TRONG THAI KỲ, KINH NGHIỆM ĐIỀU TRỊ TẠI BỆNH VIỆN TỪ DŨ

Abstract

Objective: Laparoscopic surgery for benign ovarian tumors during pregnancy carries the potential risk of uterine irritation, which may lead to adverse pregnancy outcomes such as miscarriage, intrauterine fetal demise, or preterm labor. This study aims to demonstrate the advantages and recent advancements in laparoscopic management of benign ovarian tumors during pregnancy. Materials and Methods: A retrospective study was conducted on 253 pregnant patients who underwent laparoscopic surgery for benign ovarian tumors at TuDu Hospital between January 1, 2023, and December 31, 2024. We evaluated the safety of laparoscopy using currently applied trocar placement techniques that minimize uterine stimulation, facilitate operative access, and reduce intraoperative complications and postoperative recovery time. Results: All 253 pregnant patients underwent successful laparoscopic removal of benign ovarian tumors. The procedures were associated with minimal intraoperative blood loss (42.94 ± 12.85 mL), short operative time (56.56 ± 15.30 minutes), and brief hospitalization (3–5 days). No adverse outcomes such as miscarriage, intrauterine fetal demise, or preterm labor were observed within 7 days postoperatively. Trocar positioning proved effective in facilitating surgical access while avoiding uterine irritation. Conclusion: The findings demonstrate significant advancements in laparoscopic techniques for the management of ovarian tumors during pregnancy. The strategic placement of trocars allows for optimal surgical access without compromising uterine stability, resulting in favorable safety outcomes, rapid postoperative recovery, and enhanced cosmetic results.