子宮頸癌における腹腔鏡下広汎子宮全摘出術の子宮牽引方法の工夫

抄録

　In laparoscopic radical hysterectomy for cervical cancer, it is important to ensure appropriate traction and fixation of the uterus. The use of uterine manipulators during this procedure is reportedly associated with a worse prognosis. Therefore, we do not use uterine manipulators. Instead, we employ a novel method of applying appropriate traction to the uterus during laparoscopic radical hysterectomy. Specifically, we place traction threads on the bilateral upper ligaments of the uterus, and use of these threads to apply traction provides a good surgical field that facilitates completion of the surgery. This method is useful in ensuring an optimal surgical field for a smooth operation.