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Лапароскопия и лапаротомия в лечении опухолей и опухолевидных образований яичников у беременных
Лапароскопия и лапаротомия в лечении опухолей и опухолевидных образований яичников у беременных
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Аннотация
В статье проведен сравнительный анализ использования лапароскопического и лапаротомного доступа в лечении опухолей и опухолевидных образований яичников у 123 беременных. Доказаны высокая эффективность и безопасность лапароскопии в I и первой половине II триместра беременности за счет меньшей продолжительности самой операции, послеоперационного периода и периода госпитализации, меньшей кровопотери и потребности в использовании анальгетиков, при сходной эффективности хирургического лечения и меньшем риске преждевременных родов.
Ключевые слова: беременность, опухоли и опухолевидные образования яичников, лапароскопия, лапаротомия, осложнения, преждевременные роды.
Key words: pregnancy, adnexal masses, laparoscopy, laparotomy, complications, preterm labor.
Ключевые слова: беременность, опухоли и опухолевидные образования яичников, лапароскопия, лапаротомия, осложнения, преждевременные роды.
________________________________________________
Key words: pregnancy, adnexal masses, laparoscopy, laparotomy, complications, preterm labor.
Полный текст
Список литературы
1. Адамян Л.В., Мурашко Л.Е., Романова Е.Л. Хирургическое лечение опухолей и опухолевидных образований яичников у беременных с использованием современных технологий. Проблемы репродукции. 2005; 3: 60–4.
2. Ашрафян Л.А., Киселев В.И. Опухоли репродуктивной системы (этиология, патогенез). М.: Димитрейд График Групп, 2007.
3. Бахидзе Е.В. Опухоли яичника у беременных. Журн. акушерства и женских болезней. 2011; LX (3): 190–6.
4. Бахидзе Е.В., Чепик О.Ф., Гедерим М.Н., Максимов С.Я. Сохранение фертильности у больных начальным раком яичников. Рос. вестн. акушера-гинеколога. 2004; 1: 49–54.
5. Краснопольский В.И., Логутова Л.С., Попов А.А. и др. Лапароскопия в диагностике и лечении кист и доброкачественных опухолей яичников у беременных и родильниц. Рос. вестн. акушера-гинеколога. 2002; 6: 65–6.
6. Магнитская Н.А. Диагностика и лечение образований яичников у беременных. Автореф. дис. ... канд. мед. наук. М., 2012.
7. Новикова Е.Г., Шевчук А.С., Завалишина Л.Э. Некоторые аспекты органосохраняющего лечения пограничных опухолей яичников. Рос. онкол. журн. 2010; 4: 15–20.
8. Романова Е.Л. Современные подходы к хирургическому лечению беременных с опухолями и опухолевидными образованиями яичников. Автореф. дис. … канд. мед. наук. М., 2006.
9. Урманчеева А.Ф., Кутушева Г.Ф., Ульрих Е.А. Опухоли яичника (клиника, диагностика и лечение). СПб.: Н-Л, 2012.
10. Aggarwal P, Kehoe S. Ovarian tumors in pregnancy: a literature review. Eur J Obstet Gynecol Reprod Biol 2011; 155: 119–24.
11. Al-Fozan H, Tulandi T. Safety and risks of laparoscopy in pregnancy. Curr Opin Obstet Gynecol 2002; 14: 375–9.
12. Balci O, Gezginc K, Karatayli R et al. Management and outcomes of adnexal masses during pregnancy: a 6-year experience. J Obstet Gynaecol Res 2008; 34 (4): 524–8.
13. Barnard JL, Chaffin D, Droste S et al. Fetal response to carbon dioxide pneumoperitoneum the pregnant ewe. Obstet Gynecol 1995; 85: 669–74.
14. Behtash N, Karimi Zarchi M, Modares Gilani M et al. Ovarian carcinoma associated with pregnancy: a clinicopathologic analysis of 23 cases and review of the literature. BMC Pregnancy Childbirth 2008; 8: 3–10.
15. Fatum M, Rojansky N. Laparoscopic surgery during pregnancy. Obstet Gynecol Survey 2001; 56: 50–9.
16. Ferrandina G, Distefano M, Testa A et al. Management of an advanced ovarian cancer at 15 weeks of gestation: case report and literature review. Gynecol Oncol 2005; 97: 693–6.
17. Hoover K, Jenkins TR. Evaluation and management of adnexal mass in pregnancy. Am J Obstet Gynecol 2011; p. 97–102.
18. Koo YJ, Kim HJ, Lim KT et al. Laparotomy versus laparoscopy for the treatment of adnexal masses during pregnancy. Aust N Z J Obstet Gynaecol 2012; 52: 34.
19. Kumari I, Kaur S, Mohan H, Huria A. Adnexal masses in pregnancy: a 5-year review. Aust N Z J Obstet Gynaecol 2006; 46: 52–4.
20. Lee D, Abraham N. Laparoscopic radical nephrectomy during pregnancy: case report and review of the literature. J Endourol 2008; 22: 517.
21. Lee YY, Kim TJ, Choi CH et al. Factors influencing the choice of laparoscopy or laparotomy in pregnant women with presumptive benign ovarian tumours. Int J Gynaecol Obstet 2010; 108 (1): 12–5.
22. Leiserowitz G, Xing G et al. Adnexal masses in pregnancy: how often are they malignant? Gynecol Oncol 2006; 101: 315–21.
23. Leiserowitz GS. Managing ovarian masses during pregnancy. Obstet Gynecol Surv 2006; 61 (7): 463–70.
24. Marret H, Lhomme C, Lecuru F et al. Guidelines for the management of ovarian cancer during pregnancy. Eur J Obstet Gynecol Reprod Biol 2010; 149: 18–21.
25. Maurizio B, Edgardo S, Silvia O et al. Decidualized ovarian endometriosis in pregnancy: a challenging diagnostic entity. Hum Reprod 2009; 24: 1818–24.
26. Mazze R, Kallen B. Reproductive outcome after anesthesia and operation during pregnancy: a registry study of 5405 cases. Am J Obstet Gynecol 1989; 161: 1178–85.
27. Mhuireachtaigh RN, O’Gorman DA. Anesthesia in pregnant patients for nonobstetric surgery. J Clin Anesth 2006; 18: 60–6.
28. Norwitz ER, Park JS, Snegovskikh D et al. Management of pregnant women undergoing nonobstetric surgery. URL: http://www.uptodate.com/contents/
29. Oelsner G, Stockheim D, Soriano D et al. Pregnancy outcome after laparoscopy or laparotomy in pregnancy. J Am Assoc Gynecol Laparosc 2003; 10: 200–4.
30. Reedy MB, Källén B, Kuehl TJ. Laparoscopy during pregnancy: a study of five outcome parameters with use of the Swedish Health Registry. Am J Obstet Gynecol 1997; 177: 673–9.
31. Reynolds JD, Booth JB, de la Fuente S et al. A review of laparoscopy for non-obstetric related surgery during pregnancy. Curr Surg 2003; 60: 164–73.
32. Rizzo AG. Laparoscopic surgery in pregnancy: long-term follow-up. J Laparoendosc Adv Surg Tech 2003; 13 (1): 11–5.
33. Roman H, Accoceberry M, Bolandard F et al. Laparoscopic management of a ruptured benign dermoid cyst during advanced pregnancy. J Minim Invasive Gynecol 2005; 12: 377.
34. Runowicz CD, Brewer M, Goff B, Barss VA. Management of ovarian cancer in pregnant women. URL: http://www.uptodate.com/contents/
35. SAGES Guidelines Committee. Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy. Surg Endosc 2008; 22: 849–61.
36. Schmeler KM, Mayo-Smith WW, Peipert JF et al. Adnexal masses in pregnancy: surgery compared with observation. Obstet Gynecol 2005; 105: 1098–103.
37. Sherard GB, Hodson CA et al. Adnexal masses and pregnancy: a 12-year experience. Am J Obstet Gynecol 2003; 189: 358–62.
38. Soriano D, Yefet Y et al. Laparoscopy versus laparotomy in the management of adnexal masses during pregnancy. Fertil Steril 1999; 71: 955–60.
39. Stany MP, Elkas JC, Ramin SM et al. Laparoscopic surgery in pregnancy. URL: http://www.uptodate.com/contents
40. Stepp K, Falcone T. Laparoscopy in the second trimester of pregnancy. Obstet Gynecol Clin N Am 2004; 31: 485–96.
41. Upadhyay A, Stanten S, Kazantsev G et al. Laparoscopic management of a nonobstetric emergency in the third trimester of pregnancy. Surg Endosc 2007; 21: 1344.
42. Wai PY, Ruby JA, Davis KA et al. Laparoscopic ventral hernia repair during pregnancy. Hernia 2009; 13: 559.
2. Ашрафян Л.А., Киселев В.И. Опухоли репродуктивной системы (этиология, патогенез). М.: Димитрейд График Групп, 2007.
3. Бахидзе Е.В. Опухоли яичника у беременных. Журн. акушерства и женских болезней. 2011; LX (3): 190–6.
4. Бахидзе Е.В., Чепик О.Ф., Гедерим М.Н., Максимов С.Я. Сохранение фертильности у больных начальным раком яичников. Рос. вестн. акушера-гинеколога. 2004; 1: 49–54.
5. Краснопольский В.И., Логутова Л.С., Попов А.А. и др. Лапароскопия в диагностике и лечении кист и доброкачественных опухолей яичников у беременных и родильниц. Рос. вестн. акушера-гинеколога. 2002; 6: 65–6.
6. Магнитская Н.А. Диагностика и лечение образований яичников у беременных. Автореф. дис. ... канд. мед. наук. М., 2012.
7. Новикова Е.Г., Шевчук А.С., Завалишина Л.Э. Некоторые аспекты органосохраняющего лечения пограничных опухолей яичников. Рос. онкол. журн. 2010; 4: 15–20.
8. Романова Е.Л. Современные подходы к хирургическому лечению беременных с опухолями и опухолевидными образованиями яичников. Автореф. дис. … канд. мед. наук. М., 2006.
9. Урманчеева А.Ф., Кутушева Г.Ф., Ульрих Е.А. Опухоли яичника (клиника, диагностика и лечение). СПб.: Н-Л, 2012.
10. Aggarwal P, Kehoe S. Ovarian tumors in pregnancy: a literature review. Eur J Obstet Gynecol Reprod Biol 2011; 155: 119–24.
11. Al-Fozan H, Tulandi T. Safety and risks of laparoscopy in pregnancy. Curr Opin Obstet Gynecol 2002; 14: 375–9.
12. Balci O, Gezginc K, Karatayli R et al. Management and outcomes of adnexal masses during pregnancy: a 6-year experience. J Obstet Gynaecol Res 2008; 34 (4): 524–8.
13. Barnard JL, Chaffin D, Droste S et al. Fetal response to carbon dioxide pneumoperitoneum the pregnant ewe. Obstet Gynecol 1995; 85: 669–74.
14. Behtash N, Karimi Zarchi M, Modares Gilani M et al. Ovarian carcinoma associated with pregnancy: a clinicopathologic analysis of 23 cases and review of the literature. BMC Pregnancy Childbirth 2008; 8: 3–10.
15. Fatum M, Rojansky N. Laparoscopic surgery during pregnancy. Obstet Gynecol Survey 2001; 56: 50–9.
16. Ferrandina G, Distefano M, Testa A et al. Management of an advanced ovarian cancer at 15 weeks of gestation: case report and literature review. Gynecol Oncol 2005; 97: 693–6.
17. Hoover K, Jenkins TR. Evaluation and management of adnexal mass in pregnancy. Am J Obstet Gynecol 2011; p. 97–102.
18. Koo YJ, Kim HJ, Lim KT et al. Laparotomy versus laparoscopy for the treatment of adnexal masses during pregnancy. Aust N Z J Obstet Gynaecol 2012; 52: 34.
19. Kumari I, Kaur S, Mohan H, Huria A. Adnexal masses in pregnancy: a 5-year review. Aust N Z J Obstet Gynaecol 2006; 46: 52–4.
20. Lee D, Abraham N. Laparoscopic radical nephrectomy during pregnancy: case report and review of the literature. J Endourol 2008; 22: 517.
21. Lee YY, Kim TJ, Choi CH et al. Factors influencing the choice of laparoscopy or laparotomy in pregnant women with presumptive benign ovarian tumours. Int J Gynaecol Obstet 2010; 108 (1): 12–5.
22. Leiserowitz G, Xing G et al. Adnexal masses in pregnancy: how often are they malignant? Gynecol Oncol 2006; 101: 315–21.
23. Leiserowitz GS. Managing ovarian masses during pregnancy. Obstet Gynecol Surv 2006; 61 (7): 463–70.
24. Marret H, Lhomme C, Lecuru F et al. Guidelines for the management of ovarian cancer during pregnancy. Eur J Obstet Gynecol Reprod Biol 2010; 149: 18–21.
25. Maurizio B, Edgardo S, Silvia O et al. Decidualized ovarian endometriosis in pregnancy: a challenging diagnostic entity. Hum Reprod 2009; 24: 1818–24.
26. Mazze R, Kallen B. Reproductive outcome after anesthesia and operation during pregnancy: a registry study of 5405 cases. Am J Obstet Gynecol 1989; 161: 1178–85.
27. Mhuireachtaigh RN, O’Gorman DA. Anesthesia in pregnant patients for nonobstetric surgery. J Clin Anesth 2006; 18: 60–6.
28. Norwitz ER, Park JS, Snegovskikh D et al. Management of pregnant women undergoing nonobstetric surgery. URL: http://www.uptodate.com/contents/
29. Oelsner G, Stockheim D, Soriano D et al. Pregnancy outcome after laparoscopy or laparotomy in pregnancy. J Am Assoc Gynecol Laparosc 2003; 10: 200–4.
30. Reedy MB, Källén B, Kuehl TJ. Laparoscopy during pregnancy: a study of five outcome parameters with use of the Swedish Health Registry. Am J Obstet Gynecol 1997; 177: 673–9.
31. Reynolds JD, Booth JB, de la Fuente S et al. A review of laparoscopy for non-obstetric related surgery during pregnancy. Curr Surg 2003; 60: 164–73.
32. Rizzo AG. Laparoscopic surgery in pregnancy: long-term follow-up. J Laparoendosc Adv Surg Tech 2003; 13 (1): 11–5.
33. Roman H, Accoceberry M, Bolandard F et al. Laparoscopic management of a ruptured benign dermoid cyst during advanced pregnancy. J Minim Invasive Gynecol 2005; 12: 377.
34. Runowicz CD, Brewer M, Goff B, Barss VA. Management of ovarian cancer in pregnant women. URL: http://www.uptodate.com/contents/
35. SAGES Guidelines Committee. Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy. Surg Endosc 2008; 22: 849–61.
36. Schmeler KM, Mayo-Smith WW, Peipert JF et al. Adnexal masses in pregnancy: surgery compared with observation. Obstet Gynecol 2005; 105: 1098–103.
37. Sherard GB, Hodson CA et al. Adnexal masses and pregnancy: a 12-year experience. Am J Obstet Gynecol 2003; 189: 358–62.
38. Soriano D, Yefet Y et al. Laparoscopy versus laparotomy in the management of adnexal masses during pregnancy. Fertil Steril 1999; 71: 955–60.
39. Stany MP, Elkas JC, Ramin SM et al. Laparoscopic surgery in pregnancy. URL: http://www.uptodate.com/contents
40. Stepp K, Falcone T. Laparoscopy in the second trimester of pregnancy. Obstet Gynecol Clin N Am 2004; 31: 485–96.
41. Upadhyay A, Stanten S, Kazantsev G et al. Laparoscopic management of a nonobstetric emergency in the third trimester of pregnancy. Surg Endosc 2007; 21: 1344.
42. Wai PY, Ruby JA, Davis KA et al. Laparoscopic ventral hernia repair during pregnancy. Hernia 2009; 13: 559.
2. Ашрафян Л.А., Киселев В.И. Опухоли репродуктивной системы (этиология, патогенез). М.: Димитрейд График Групп, 2007.
3. Бахидзе Е.В. Опухоли яичника у беременных. Журн. акушерства и женских болезней. 2011; LX (3): 190–6.
4. Бахидзе Е.В., Чепик О.Ф., Гедерим М.Н., Максимов С.Я. Сохранение фертильности у больных начальным раком яичников. Рос. вестн. акушера-гинеколога. 2004; 1: 49–54.
5. Краснопольский В.И., Логутова Л.С., Попов А.А. и др. Лапароскопия в диагностике и лечении кист и доброкачественных опухолей яичников у беременных и родильниц. Рос. вестн. акушера-гинеколога. 2002; 6: 65–6.
6. Магнитская Н.А. Диагностика и лечение образований яичников у беременных. Автореф. дис. ... канд. мед. наук. М., 2012.
7. Новикова Е.Г., Шевчук А.С., Завалишина Л.Э. Некоторые аспекты органосохраняющего лечения пограничных опухолей яичников. Рос. онкол. журн. 2010; 4: 15–20.
8. Романова Е.Л. Современные подходы к хирургическому лечению беременных с опухолями и опухолевидными образованиями яичников. Автореф. дис. … канд. мед. наук. М., 2006.
9. Урманчеева А.Ф., Кутушева Г.Ф., Ульрих Е.А. Опухоли яичника (клиника, диагностика и лечение). СПб.: Н-Л, 2012.
10. Aggarwal P, Kehoe S. Ovarian tumors in pregnancy: a literature review. Eur J Obstet Gynecol Reprod Biol 2011; 155: 119–24.
11. Al-Fozan H, Tulandi T. Safety and risks of laparoscopy in pregnancy. Curr Opin Obstet Gynecol 2002; 14: 375–9.
12. Balci O, Gezginc K, Karatayli R et al. Management and outcomes of adnexal masses during pregnancy: a 6-year experience. J Obstet Gynaecol Res 2008; 34 (4): 524–8.
13. Barnard JL, Chaffin D, Droste S et al. Fetal response to carbon dioxide pneumoperitoneum the pregnant ewe. Obstet Gynecol 1995; 85: 669–74.
14. Behtash N, Karimi Zarchi M, Modares Gilani M et al. Ovarian carcinoma associated with pregnancy: a clinicopathologic analysis of 23 cases and review of the literature. BMC Pregnancy Childbirth 2008; 8: 3–10.
15. Fatum M, Rojansky N. Laparoscopic surgery during pregnancy. Obstet Gynecol Survey 2001; 56: 50–9.
16. Ferrandina G, Distefano M, Testa A et al. Management of an advanced ovarian cancer at 15 weeks of gestation: case report and literature review. Gynecol Oncol 2005; 97: 693–6.
17. Hoover K, Jenkins TR. Evaluation and management of adnexal mass in pregnancy. Am J Obstet Gynecol 2011; p. 97–102.
18. Koo YJ, Kim HJ, Lim KT et al. Laparotomy versus laparoscopy for the treatment of adnexal masses during pregnancy. Aust N Z J Obstet Gynaecol 2012; 52: 34.
19. Kumari I, Kaur S, Mohan H, Huria A. Adnexal masses in pregnancy: a 5-year review. Aust N Z J Obstet Gynaecol 2006; 46: 52–4.
20. Lee D, Abraham N. Laparoscopic radical nephrectomy during pregnancy: case report and review of the literature. J Endourol 2008; 22: 517.
21. Lee YY, Kim TJ, Choi CH et al. Factors influencing the choice of laparoscopy or laparotomy in pregnant women with presumptive benign ovarian tumours. Int J Gynaecol Obstet 2010; 108 (1): 12–5.
22. Leiserowitz G, Xing G et al. Adnexal masses in pregnancy: how often are they malignant? Gynecol Oncol 2006; 101: 315–21.
23. Leiserowitz GS. Managing ovarian masses during pregnancy. Obstet Gynecol Surv 2006; 61 (7): 463–70.
24. Marret H, Lhomme C, Lecuru F et al. Guidelines for the management of ovarian cancer during pregnancy. Eur J Obstet Gynecol Reprod Biol 2010; 149: 18–21.
25. Maurizio B, Edgardo S, Silvia O et al. Decidualized ovarian endometriosis in pregnancy: a challenging diagnostic entity. Hum Reprod 2009; 24: 1818–24.
26. Mazze R, Kallen B. Reproductive outcome after anesthesia and operation during pregnancy: a registry study of 5405 cases. Am J Obstet Gynecol 1989; 161: 1178–85.
27. Mhuireachtaigh RN, O’Gorman DA. Anesthesia in pregnant patients for nonobstetric surgery. J Clin Anesth 2006; 18: 60–6.
28. Norwitz ER, Park JS, Snegovskikh D et al. Management of pregnant women undergoing nonobstetric surgery. URL: http://www.uptodate.com/contents/
29. Oelsner G, Stockheim D, Soriano D et al. Pregnancy outcome after laparoscopy or laparotomy in pregnancy. J Am Assoc Gynecol Laparosc 2003; 10: 200–4.
30. Reedy MB, Källén B, Kuehl TJ. Laparoscopy during pregnancy: a study of five outcome parameters with use of the Swedish Health Registry. Am J Obstet Gynecol 1997; 177: 673–9.
31. Reynolds JD, Booth JB, de la Fuente S et al. A review of laparoscopy for non-obstetric related surgery during pregnancy. Curr Surg 2003; 60: 164–73.
32. Rizzo AG. Laparoscopic surgery in pregnancy: long-term follow-up. J Laparoendosc Adv Surg Tech 2003; 13 (1): 11–5.
33. Roman H, Accoceberry M, Bolandard F et al. Laparoscopic management of a ruptured benign dermoid cyst during advanced pregnancy. J Minim Invasive Gynecol 2005; 12: 377.
34. Runowicz CD, Brewer M, Goff B, Barss VA. Management of ovarian cancer in pregnant women. URL: http://www.uptodate.com/contents/
35. SAGES Guidelines Committee. Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy. Surg Endosc 2008; 22: 849–61.
36. Schmeler KM, Mayo-Smith WW, Peipert JF et al. Adnexal masses in pregnancy: surgery compared with observation. Obstet Gynecol 2005; 105: 1098–103.
37. Sherard GB, Hodson CA et al. Adnexal masses and pregnancy: a 12-year experience. Am J Obstet Gynecol 2003; 189: 358–62.
38. Soriano D, Yefet Y et al. Laparoscopy versus laparotomy in the management of adnexal masses during pregnancy. Fertil Steril 1999; 71: 955–60.
39. Stany MP, Elkas JC, Ramin SM et al. Laparoscopic surgery in pregnancy. URL: http://www.uptodate.com/contents
40. Stepp K, Falcone T. Laparoscopy in the second trimester of pregnancy. Obstet Gynecol Clin N Am 2004; 31: 485–96.
41. Upadhyay A, Stanten S, Kazantsev G et al. Laparoscopic management of a nonobstetric emergency in the third trimester of pregnancy. Surg Endosc 2007; 21: 1344.
42. Wai PY, Ruby JA, Davis KA et al. Laparoscopic ventral hernia repair during pregnancy. Hernia 2009; 13: 559.
________________________________________________
2. Ашрафян Л.А., Киселев В.И. Опухоли репродуктивной системы (этиология, патогенез). М.: Димитрейд График Групп, 2007.
3. Бахидзе Е.В. Опухоли яичника у беременных. Журн. акушерства и женских болезней. 2011; LX (3): 190–6.
4. Бахидзе Е.В., Чепик О.Ф., Гедерим М.Н., Максимов С.Я. Сохранение фертильности у больных начальным раком яичников. Рос. вестн. акушера-гинеколога. 2004; 1: 49–54.
5. Краснопольский В.И., Логутова Л.С., Попов А.А. и др. Лапароскопия в диагностике и лечении кист и доброкачественных опухолей яичников у беременных и родильниц. Рос. вестн. акушера-гинеколога. 2002; 6: 65–6.
6. Магнитская Н.А. Диагностика и лечение образований яичников у беременных. Автореф. дис. ... канд. мед. наук. М., 2012.
7. Новикова Е.Г., Шевчук А.С., Завалишина Л.Э. Некоторые аспекты органосохраняющего лечения пограничных опухолей яичников. Рос. онкол. журн. 2010; 4: 15–20.
8. Романова Е.Л. Современные подходы к хирургическому лечению беременных с опухолями и опухолевидными образованиями яичников. Автореф. дис. … канд. мед. наук. М., 2006.
9. Урманчеева А.Ф., Кутушева Г.Ф., Ульрих Е.А. Опухоли яичника (клиника, диагностика и лечение). СПб.: Н-Л, 2012.
10. Aggarwal P, Kehoe S. Ovarian tumors in pregnancy: a literature review. Eur J Obstet Gynecol Reprod Biol 2011; 155: 119–24.
11. Al-Fozan H, Tulandi T. Safety and risks of laparoscopy in pregnancy. Curr Opin Obstet Gynecol 2002; 14: 375–9.
12. Balci O, Gezginc K, Karatayli R et al. Management and outcomes of adnexal masses during pregnancy: a 6-year experience. J Obstet Gynaecol Res 2008; 34 (4): 524–8.
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Авторы
С.А.Мартынов1, Л.В.Адамян1, К.И.Жорданиа2, А.Ю.Данилов1
1. ФГБУ Научный центр акушерства, гинекологии и перинатологии им. акад. В.И.Кулакова Минздрава России, Москва;
2. ФГБУ Российский онкологический научный центр им. Н.Н.Блохина РАМН, Москва
1. ФГБУ Научный центр акушерства, гинекологии и перинатологии им. акад. В.И.Кулакова Минздрава России, Москва;
2. ФГБУ Российский онкологический научный центр им. Н.Н.Блохина РАМН, Москва
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