Laparoscopic cervical myomectomy: Five years of experience
3
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective This retrospective case series evaluated the feasibility and safety of laparoscopic cervical myomectomy. Methods Sixty-five patients with cervical myoma who underwent laparoscopic cervical myomectomy were included in this study. Results The mean age of the patients was 39.2 ± 6.0 years. The marriage rate was 67.7%, and the mean parity was 1.09. The most common symptoms in the patients were increased myoma size (41.5%) and menorrhagia (13.8%), while 20% of patients were asymptomatic. The average diameter of the myomas treated was 72.68 ± 20.28 mm, and the mean number of myomas per patient was 1.41± 0.88. Laparoscopic cervical myomectomy required a mean time of 63.25 ± 20.34 minutes. The difference between preoperative and postoperative hemoglobin levels was 2.01± 0.73 g/dL, and no patient required transfusion or conversion to laparotomy. Conclusion Sixty-five procedures of laparoscopic cervical myomectomy were performed safely. Operation time and complications were minimal. With correct understanding of pelvic anatomy, laparoscopic cervical myomectomy can be carried out safely and easily, and represents a minimally invasive treatment choice for symptomatic cervical myoma.
Abstract
Objective This retrospective case series evaluated the feasibility and safety of laparoscopic cervical myomectomy. Methods Sixty-five patients with cervical myoma who underwent laparoscopic cervical myomectomy were included in this study. Results The mean age of the patients was 39.2 ± 6.0 years. The marriage rate was 67.7%, and the mean parity was 1.09. The most common symptoms in the patients were increased myoma size (41.5%) and menorrhagia (13.8%), while 20% of patients were asymptomatic. The average diameter of the myomas treated was 72.68 ± 20.28 mm, and the mean number of myomas per patient was 1.41± 0.88. Laparoscopic cervical myomectomy required a mean time of 63.25 ± 20.34 minutes. The difference between preoperative and postoperative hemoglobin levels was 2.01± 0.73 g/dL, and no patient required transfusion or conversion to laparotomy. Conclusion Sixty-five procedures of laparoscopic cervical myomectomy were performed safely. Operation time and complications were minimal. With correct understanding of pelvic anatomy, laparoscopic cervical myomectomy can be carried out safely and easily, and represents a minimally invasive treatment choice for symptomatic cervical myoma.
참고문헌 (18)
- Adams Hillard PJ, "Benign diseases of the female reproductive tract, In Berek & Novak’s gynecology. 14th ed", pp.469~481 (2007), Lippincott Williams & Wilkins
- Istre O, "Management of symptomatic fibroids: conservative surgical treatment modalities other than abdominal or laparoscopic myomectomy", Best Pract Res Clin Obstet Gynaecol, 22, pp.735~747 (2008)
- Hurst BS, "Laparoscopic myomectomy for symptomatic uterine myomas", Fertil Steril, 83, pp.1~23 (2005)
- Stovall TG, "Myomectomy, In Gynecologic surgery", pp.445~461 (1996), Churchill Livingstones;
- Takeuchi H, "A new enucleation method for cervical myoma via laparoscopy", J Minim Invasive Gynecol, 13, pp.334~336 (2006)
- Semm K, "Technical progress in pelvic surgery via operative laparoscopy", Am J Obstet Gynecol, 138, pp.121~127 (1980)
- "Clinical Management Guidelines for the Obstetrician-Gynecologist. Surgical alternatives to hysterectomy in the management of leiomyomas. American College of Obstetricians and Gynecologists (ACOG). Number 16, May 2000. In: 2004 Compendium of Selected Publications. Washington, DC: ACOG", 665~673 (2004)
- Seracchioli R, "Fertility and obstetric outcome after laparoscopic myomectomy of large myomata: a randomized comparison with abdominal myomectomy", Hum Reprod, 15, pp.2663~2668 (2000)
- Seracchioli R, "Obstetric and delivery outcome of pregnancies achieved after laparoscopic myomectomy", Fertil Steril, 86, pp.159~165 (2006)
- Agdi M, "Endoscopic management of uterine fibroids", Best Pract Res Clin Obstet Gynaecol, 22, pp.707~716 (2008)
- Dubuisso JB, "Laparoscopic myomectomy: a current view", Hum Reprod Update, 6, pp.588~594 (2000)
- Lee CL, "Laparoscopic myomectomy", Taiwan J Obstet Gynecol, 48, pp.335~341 (2009)
- Glasser MH, "Minilaparotomy myomectomy: a minimally invasive alternative for the large fibroid uterus", J Minim Invasive Gynecol, 12, pp.275~283 (2005)
- Marret H, "Factors influencing laparoconversions during the learning curve of laparoscopic myomectomy", Acta Obstet Gynecol Scand, 85, pp.324~329 (2006)
- 정언석, "다양한 크기의 자궁근종 110예에 대한 복강경하 자궁근종절제술의 임상적 효용성에 대한 고찰", Obstetrics & Gynecology Science, 50(6), pp.918~925 (2007), 대한산부인과학회
- Dubuisson JB, "Laparoscopic myomectomy: predicting the risk of conversion to an open procedure", Hum Reprod, 16, pp.1726~1731 (2001)
- Matsuoka S, "Strategy for laparoscopic cervical myomectomy", J Minim Invasive Gynecol, 17, pp.301~305 (2010)
- Chen I, "Gonadotropin-releasing hormone agonist in laparoscopic myomectomy: systematic review and meta-analysis of randomized controlled trials", J Minim Invasive Gynecol, 18, pp.303~309 (2011)