100歳の巨大卵巣腫瘍に対し腹腔鏡下付属器摘出術を施行した1例

抄録

Since the average lifetime of Japanese women is 87 years old recently, the gynecologic surgeons will face the elderly patients who need to be performed operation. We report a case of laparoscopic salpingo-oophorectomy for huge ovarian tumor in an elderly patient. A 100-year-old woman, gravida 3 para 3, caught a cold and visited emergency department. The chest - abdominal CT revealed huge pelvic mass, and she was referred to our hospital. MRI showed a multiple cystic ovarian mass without solid part. We evaluated her cognitive function and surgical risk with Comprehensive Geriatric Assessment and E-PASS scoring system. Laparoscopic salpingo-oophorectomy was performed under the general anesthesia. During the operation her vital sign was stable. Two days after operation she discharged without any problems. Our treatment decision for surgical intervention was based on the patient's general condition rather than her chronological age.