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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
- 379 - 386 (8page)
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ObjectiveTo compare the perioperative outcomes of transumbilical morcellation (TUM) and transvaginal morcellation (TVM) ofa large uterus (≥500 g) during single-port-access total laparoscopic hysterectomy (SPA-TLH). MethodsA total of 57 patients who underwent SPA-TLH for a large uterine myoma and/or adenomyosis (uterine weight ≥500 g)between March 2013 and July 2017 were included. For specimen retrieval, TUM was performed for 30 patients andTVM for 27 patients. ResultsPerioperative outcomes, including total operative time, tissue extraction time, extension of skin incision length,estimated volume of blood loss, changes in postoperative hemoglobin level, length of postoperative hospitalstay, postoperative pain, and uterine weight, were compared between the 2 groups. No significant differenceswere observed in the baseline characteristics except for a history of cesarean section (TUM vs. TVM: 83.3% vs. 14.8%, P=0.002) and history of vaginal delivery (TUM vs. TVM: 6.7% vs. 88.8%, P=0.001). The total operative time,tissue extraction time, extension of skin incision length, estimated volume of blood loss, changes in postoperativehemoglobin level, length of postoperative hospital stay, and postoperative pain did not significantly differ betweenthe two groups. The uterine weight was significantly higher for patients who underwent TUM than for those whohad TVM (median [range]: 735 g [520–1,380 g] vs. 622 g [514–975 g]; P=0.042). ConclusionTUM during SPA-TLH is a feasible technique for extracting large uteri weighing ≥500 g. This procedure is suitable forpatients without a history of vaginal delivery or a narrow vaginal cavity.
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참고문헌 (20)
참고문헌 신청
Reich H / 1989 / Laparoscopic hysterectomy / J Gynecol Surg 5:213~216
Wu MP / 2012 / The trends of minimally invasive surgery for benign gynecologic lesions, 1997–2007 in Taiwan / Gynecol Minim Invasive Ther 1:3~8
Choi YS / 2013 / Singleport vs. conventional multi-port access laparoscopyassisted vaginal hysterectomy : comparison of surgical outcomes and complications / Eur J Obstet Gynecol Reprod Biol 169:366~369
Pelosi MA / 1991 / Laparoscopic hysterectomy with bilateral salpingo-oophorectomy using a single umbilical puncture / N J Med 88:721~726
Jackson T / 2010 / Single-port gynecologic surgery / Rev Obstet Gynecol 3:133~139
Wu MP / 2012 / The trends of minimally invasive surgery for benign gynecologic lesions, 1997–2007 in Taiwan / Gynecol Minim Invasive Ther 1:3~8
Choi YS / 2013 / Singleport vs. conventional multi-port access laparoscopyassisted vaginal hysterectomy : comparison of surgical outcomes and complications / Eur J Obstet Gynecol Reprod Biol 169:366~369
Pelosi MA / 1991 / Laparoscopic hysterectomy with bilateral salpingo-oophorectomy using a single umbilical puncture / N J Med 88:721~726
Jackson T / 2010 / Single-port gynecologic surgery / Rev Obstet Gynecol 3:133~139
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