巨大卵巣チョコレート嚢胞に対する腹腔鏡手術の工夫
スポンサーリンク
概要
- 論文の詳細を見る
Object: Abdominal laparotomy is often performed to treat large ovarian endometrial cysts. We determined the safety and feasibility of performing laparoscopic resection for large endometrial ovarian cysts.Design: A retrospective cohort study. Methods: Between June 2005 and August 2013, we performed laparoscopic surgery in 534 patients with endometrial ovarian cysts at the Yotsuya Medical Cube Womens Center. Patients with ovarian endometrial cysts were divided into the large-cysts ( ≥ 10 cm) and normal-size cysts ( < 10 cm) groups. In cases of large ovarian endometriosis with severe adhesion, we performed laparoscopic-assisted ovarian cystectomy (LAC) using double balloon catheters, which combined intra- and extra-abdominal procedures with small incisions instead of a large open laparotomy. We compared the rates of operative complication, operative time, amount of bleeding, and pathological findings between the two groups.Results: We performed laparoscopic surgery in 45 patients with large ovarian cysts. More patients had high serum CA-125 scores and r-ASRM scores in the large-cysts group than in the normal-size cysts group. Patients in the large-cysts group had severe endometriosis, and we performed the LAC procedure in 14 patients of this group. The average operative time and amount of bleeding were increased in the large-cysts group compared with the normal-size cysts group. However, there were no differences in the operative complications between the groups.Conclusion: We performed laparoscopic cystectomy in 45 cases of large severe endometrial cysts without complications. These results suggest that laparoscopic management of large endometrial ovarian cysts is safe and feasible.
- 日本産科婦人科内視鏡学会の論文
日本産科婦人科内視鏡学会 | 論文
- ラテックスアレルギーのハイリスクグループと考えられた症例に対する腹腔鏡下手術の経験
- 不妊治療中に発見し腹腔鏡下手術後に生児を得た卵巣性索間質性腫瘍の2例
- 当教室における腹腔鏡下子宮筋腫核出術と妊娠および分娩予後に関する検討
- 腹腔鏡下に性腺を摘出した性染色体異常 (モザイク) の2例
- 妊娠初期の卵巣出血に対し、自己血回収装置を用いて腹腔鏡下止血術をしえた1症例