妊娠16週以降の腹腔鏡下子宮付属器手術について

抄録

Introduction: Laparoscopic surgery is increasingly being performed for adnexal lesions during pregnancy and is usually performed between 12 and 16 weeks' gestation, although it may be attempted even after 16 weeks' gestation. However, a large-sized gravid uterus narrows the surgical field, and forceps manipulation is challenging.

Methods: We retrospectively investigated seven cases of adnexal laparoscopic surgeries performed after 16 weeks' gestation between 2009 and 2018 at our hospital.

Result: Elective and emergency operations were performed in one and six patients, respectively. Surgery was performed between 18 and 33 weeks' gestation. Postoperative diagnoses included teratoma in one, mucinous cystadenoma in one, torsion of serous cystadenoma in one, common ovarian torsion in three, and intraperitoneal adhesions in one patient. No premature birth was observed postoperatively.

Conclusion: There were some ideas for surgery so that laparoscopic surgery may be useful even after 16 weeks' gestation and for emergency surgery.