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논문 기본 정보

자료유형
학술저널
저자정보
박소연 (이화여자대학교) 김주희 (이화의대 산부인과) 정경아 (이화여자대학교) 정성일 (건국대학교) 허영민 (이화의대 산부인과) 조은혜 (이화의대 산부인과) 문혜성 (이화여자대학교) 정혜원 (이화여자대학교)
저널정보
대한산부인과학회 Obstetrics & Gynecology Science Obstetrics & Gynecology Science 제63권 제6호
발행연도
2020.1
수록면
726 - 734 (9page)

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ObjectiveThis study aimed to demonstrate the use of preoperative magnetic resonance imaging (MRI) findings to selectthe optimal surgical technique between single-site (SS) and multi-site (MS) robotic myomectomy based on clinicalexperience, for the preservation of fertility. MethodsNinety-eight patients who underwent SS or MS robotic myomectomy using the da Vinci® Si system after undergoingMRI were evaluated retrospectively. The correlation between preoperative MRI findings and the intraoperative orpostoperative findings during robotic myomectomy for the preservation of fertility was analyzed. The reproductiveoutcome was investigated when the patient wished to conceive. ResultsThe mean age of the patients was 35.68±5.04 years and 80 patients (81.6%) were nulliparous. The total diameterof myomas on MRI was 106.75±54.52 mm. The number of resected myomas was 4.31±4.39 (range, 1?27), and thetotal weight of resected myomas was 293.11±281.13 (range, 30?1,260) g. Myomas with high signal intensity on MRIrequired less time for resection. MS robotic myomectomy was performed for an increased number and total diameterof a myoma or a deep-seated myoma. Postoperatively, all patients resumed normal menstruation. Of the 15 patientswho wished to conceive, 12 (80%) conceived successfully. Of these, uterine dehiscence occurred in 1 patient and 10patients underwent an uneventful cesarean section. ConclusionSS or MS robotic myomectomy can be recommended for patients who wish to conserve fertility. However, theoptimal surgical technique should be selected based onpreoperative MRI findings to predict an effective surgicalprocess and the successful preservation of fertility.

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