腹腔鏡下卵巣腫瘍摘出術のモルセレーションに際して飛散防止にMorSafe™を使用した1例：症例報告

抄録

　A 33-year-old gravida 0 para 0 woman presented to our hospital with lower abdominal pain continuing for an hour. A hard tumor with tenderness on the right side of the uterus was found in pelvic examination. Transvaginal ultrasound revealed an ovarian tumor. It was 8 cm in diameter, solid, smooth-marginated and isodense. There was neither blood flow in color Doppler, nor ascites around the tumor. Tumor markers were not elevated. We suspected benign ovarian tumor such as fibroma. The patient hoped to preserve her ovaries. We performed laparoscopic ovarian tumorectomy and used MorSafe™ for morcellation and extraction of the tumor. We completed tumorectomy with no damage of MorSafe™. The ovarian tumor was 172 g, and the pathological diagnosis was fibroma with no malignancy. Laparoscopic ovarian tumorectomy is widely performed in cases of benign ovarian tumor, especially in young women. Gynecologists have an issue with extracting resected tumor, but there is no established method. Morcellation is an option to extract the resected tumor without further invasion, but there is a concern that power morcellation in abdominal cavity can spread the tumor. MorSafe™ is a new device that prevents the tumor from scattering. Some cases of morcellation in uterine leiomyoma with this device have been reported but there is no report of morcellation with MorSafe™ for an ovarian tumor. With this device, we performed a safe morcellation in a case of ovarian fibroma. Morcellation with MorSafe™ was a useful method to extract solid ovarian tumor.