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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 164 - 172 (9page)
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초록· 키워드
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ObjectiveTo evaluate the long-term outcomes, including the pregnancy outcome and recurrence rate after single-portlaparoscopic myomectomy (LM) using a modified suture technique with a Hem-o-lok clip (Choi’s LM) and conventional4-port LM. MethodsA retrospective study of patients who underwent Choi’s LM (n=55) and 4-port LM (n=102) in a single institutionalhospital was conducted. Patients with <3 symptomatic myomas sized <10 cm each and operated on by a singlesurgeon were included. Recurrence was confirmed when a myoma measuring ≥3 cm was detected. ResultsThe patients in both groups had similar demographic characteristics. Single (76.4% vs. 62.7%) and intramural(52.7% vs. 56.9%) tumors were commonly detected in both groups in the mean diameter (6.8±1.5 cm vs. 7.0±1.6 cm;P=0.40). In Choi’s LM, 16 patients (29.1%) needed an additional port; those who were nulliparous and/or had a largeleiomyoma more frequently required an additional port (P=0.023 and 0.04, respectively). During a median follow-upperiod of 69 months, 17 patients (7.1% vs. 14.6%) had recurrence. The size of dominant myomas at recurrence wassignificantly smaller in patients who underwent Choi’s LM (3.4±0.7 cm vs. 5.7±2.4 cm; P=0.004). All 13 patients in bothgroups who successfully conceived had a full-term delivery. No major complications occurred during pregnancy. ConclusionAlthough an additional port was frequently used, the long-term outcomes of patients who experienced recurrenceand pregnancy after Choi’s LM were acceptable. Considering its usability, Choi’s LM is feasible for the treatment ofuterine leiomyoma.
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참고문헌 (35)
참고문헌 신청
Sami Walid M / 2011 / The role of laparoscopic myomectomy in the management of uterine fibroids / Curr Opin Obstet Gynecol 23:273~277
Wise LA / 2016 / Epidemiology of uterine fibroids : from menarche to menopause / Clin Obstet Gynecol 59:2~24
Semm K / 1979 / New methods of pelviscopy(gynecologic laparoscopy)for myomectomy, ovariectomy, tubectomy and adnectomy / Endoscopy 11:85~93
Di Gregorio A / 2002 / The role of laparoscopic myomectomy in women of reproductive age / Reprod Biomed Online 4(Suppl 3):55~58
Gutt CN / 2004 / Fewer adhesions induced by laparoscopic surgery? / Surg Endosc 18:898~906
Wise LA / 2016 / Epidemiology of uterine fibroids : from menarche to menopause / Clin Obstet Gynecol 59:2~24
Semm K / 1979 / New methods of pelviscopy(gynecologic laparoscopy)for myomectomy, ovariectomy, tubectomy and adnectomy / Endoscopy 11:85~93
Di Gregorio A / 2002 / The role of laparoscopic myomectomy in women of reproductive age / Reprod Biomed Online 4(Suppl 3):55~58
Gutt CN / 2004 / Fewer adhesions induced by laparoscopic surgery? / Surg Endosc 18:898~906
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