日本産科婦人科内視鏡学会雑誌
Online ISSN : 1884-5746
Print ISSN : 1884-9938
原著論文
吊り上げ式腹腔鏡下子宮筋腫核出術の後方視的検討
水無瀨 萌林 博章中田 俊之
著者情報
キーワード: gasless laparoscopy, myomectomy
ジャーナル フリー

2016 年 31 巻 2 号 p. 345-350

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Objective: This study was designed to assess the feasibility of gasless abdominal wall-lifting laparoscopic myomectomy.
Methods: This retrospective study evaluated 183 patients without infertility who underwent gasless lifting laparoscopic myomectomy between April 1, 2005 and August 31, 2014. Data were extracted from patients' electronic health records and hospital charts.
Results: The mean age of the 183 patients was 37.9 ± 0.38 years. Mean surgery time was 135 ± 3.7 min, and mean intraoperative blood loss was 329.3 ± 41.4 g. Only eight patients (4.37%) required conversion to laparotomy. Almost all patients required 400–800 ml of autologous blood transfusion, but only four (2.18%) required additional transfusion.
Conclusion: Gasless lifting laparoscopic myomectomy is minimally invasive compared with abdominal myomectomy, and is associated with fewer complications than laparoscopic myomectomy with CO2 gas.
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© 2016 日本産科婦人科内視鏡学会
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