KẾT QUẢ PHẪU THUẬT TERATOMA BUỒNG TRỨNG TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI

Abstract

Study Objectives: Consider surgery result of teratoma at Ha Noi Obstetrics and Gynecology Hospital. Subjects and methods: A cross-sectional descriptive study included 252 patients with ovarian tumors diagnosed and treated at Ha Noi Obstetrics and Gynecology Hospital in 2022. Postoperative pathology results were teratoma. Result: Time of surgery: elective surgery 95.6%; emergency surgery 4.4%. The rate of laparoscopic, open, and laparoscopic surgery converted to open surgery is respectively 96.4%; 2.8%, 0.8%. Cystectomy accounted for 90.4%; unilateral adnexectomy, bilateral adnexectomy, hysterectomy and adnexectomy were 4.4%, 2.8% and 2.4%, respectively. Patients under 45 years old mainly had surgery to remove the tumor (96.5%). Patients > 45 years old had surgery to remove the tumor, accounting for 27.3%. Menopausal patients are 67.8 times more likely to have oophorectomy than the other group. Tumor removal rates in tumor size groups < 50mm, from 50-100mm, > 100mm are: 93.6%, 91.6% and 80.0%, respectively. Conclusion: Ovarian teratoma commonly occurs during childbearing age and often has no typical symptoms. Laparoscopic surgery is more and more widely used, bringing the benefits to the patients. Intraoperative decision depends largely on patient age and tumor qualities during surgery.