腹腔鏡下に子宮全摘術を施行した筋強直性ジストロフィー合併子宮内膜異型増殖症の1例－子宮体癌に対し開腹術を施行した妹症例と比較して－

抄録

  Myotonic dystrophy (MD) is an inherited autosomal dominant multi-systemic neuromuscular disease, and enhanced risk of neoplasms are reported. In perioperative management, respiratory and circulatory complications may occur, particularly under general anesthesia. We present a case of MD with a laparoscopic total hysterectomy (TLH) for endometrial atypical hyperplasia. We will discuss the differences in the perioperative course between the sisters, both of whom suffer from MD, after one sister's surgical treatment with a total abdominal hysterectomy (TAH) for endometrial cancer occurring at approximately the same time.