電動モルセレータを使用しない2孔式腹腔鏡補助下子宮筋腫核出術の導入

抄録

Objective: This study aimed to investigate the utility and safety of 2-port laparoscopic-assisted myomectomy (2P-LAM), performed without a morcellator, in comparison with conventional laparoscopic-assisted myomectomy (C-LAM).

Methods: We performed 41 laparoscopic-assisted myomectomies from January 2012 to July 2015. Ten patients underwent the 2P-LAM procedure, whereas the others underwent the C-LAM procedure. We performed a statistical analysis of differences in patient characteristics, size and number of myomas, surgery time, blood loss, white blood cell count, hemoglobin level, and C-reactive protein level between the two groups.

Results: There were no significant differences in patients background between the two groups. Furthermore, there were no significant differences in all perioperative variables.

Conclusion: Our results suggests that 2P-LAM is a useful reduced-port surgical method and a valid alternative to C-LAM. Therefore, as some procedures can be performed under direct vision, our new technique is easier to perform than the conventional technique.