妊娠33週時に卵巣嚢腫に対する腹腔鏡下手術を施行した一例

抄録

  Laparoscopic surgery in the third trimester is extremely uncommon. The enlarging uterus hampers surgical procedures and increases surgical risk. We report a case of a woman who developed an ovarian tumor in the 33^rd week of pregnancy.
Case: The patient underwent laparoscopic surgery in the 33^rd week of gestation because of an ovarian tumor. After transvaginal aspiration of its contents, the tumor was extracted, and a cystectomy was performed. She underwent 13 days of tocolysis after the procedure. Her postoperative recovery was uncomplicated except for threatened premature labor; she was discharged home on the 14^th postoperative day. She delivered a healthy infant at 39 weeks of gestation.
Conclusion: Laparoscopic gynecologic surgery can be performed in the third trimester if it is clinically warranted.