腹腔鏡下子宮内膜症手術時に虫垂切除術を追加施行した19例の検討
スポンサーリンク
概要
- 論文の詳細を見る
Objective: Considered to be a cause of unexplained chronic pelvic pain, appendiceal endometriosis is relatively rare, accounting for only 3% of all pathologic lesions of this disorder. In this study, we analyzed the clinicopathologic findings of resected appendices with an abnormal appearance discovered during laparoscopic surgery for endometriosis.Patients and Methods: We performed laparoscopic surgery on 309 patients with endometriosis between January 2006 and December 2008 in Hokkaido University Hospital and its affiliated hospitals. Nineteen patients underwent laparoscopic appendectomy after careful pathologic inspection of their appendices.Results: An abnormal appendiceal appearance was found in 17 of 19 patients; the remaining 2 patients possessed no superficial appendiceal abnormalities but had chronic pelvic pein. Of 17 cases with abnormal appendiceal appearance, 16 (94.1%) had pathological abnormalities: appendiceal endometriosis was found in 12 cases and appendicitis in 4 cases. Two patients affected by chronic pelvic pain with normal appendiceal appearances had appendices with no pathological abnormalities. The prevalence of appendiceal endometriosis in this study was 3.9% (12/309). All patients with appendiceal endometriosis had endometriomas. Neither conversion to open surgery nor treatment for surgical complication was necessary.Conclusion: Laparoscopic appendectomy is an appropriate procedure for patients with endometriosis if they have abnormal appendiceal appearances. During laparoscopic surgery for endometriosis, especially in the case of endometrioma, close observation of the appendix may allow surgeons to remove endometriotic lesions more thoroughly.
論文 | ランダム
- ケース・スタディ JTB Flash使い旅行カタログ配信 印刷・配送費を年20億円削減
- 株主議決権のネット投票が急伸 前年比2.3倍の161社が利用,動画配信には抵抗感も
- 特集 Web防御の現実策 "ポート80"はこう守れ
- 選択肢広がるメタディレクトリ システムごとの違いを吸収し,アカウントの一元管理を実現
- 特集 負荷分散装置を知る--処理の仕組みを理解し,正しい使い方を探る