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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.
초록· 키워드
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Uterine leiomyoma is a very common gynecological tumor in the reproductive years. Recent studies have shown that surgical treatment of uterine leiomyoma using robotic-assisted laparoscopic myomectomy (RALM) is associated with significantly fewer complications, lower estimated blood loss, fewer conversions, and less bleeding than conventional laparoscopic myomectomy. This study reports the case of a giant uterine leiomyoma treated using RALM. A 50-year-old woman was referred to our outpatient clinic with progressive abdominal distension. Ultrasonography and magnetic resonance imaging were performed and showed a markedly enlarged uterus containing a 28-cm uterine myoma. RALM confirmed the 28-cm subserosal myoma on the posterior wall of the uterus. The myoma was enucleated, and the myometrial and serosal defect was repaired with a continuous suture using barbed suture materials. The entire myoma was removed using an electric morcellator. The operation lasted for 190 minutes. The total weight of the removed myoma was 3,262 g, and uterine leiomyoma was pathologically diagnosed. There were no postoperative complications. Although the treatment of huge myomas using RALM is controversial and technically demanding, we successfully performed RALM in a patient with a large myoma. This case confirms the efficiency, reliability, and safety of a robotic-assisted laparoscopic approach for removing a huge myoma. In a well-selected case, RALM can be performed by experienced surgeons regardless of the size of fibroids.
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참고문헌 (15)
참고문헌 신청
Aksoy H / 2015 / Successful use of laparoscopic myomectomy to remove a giant uterine myoma : a case report / J Med Case Rep 9:286
Khaw SC / 2020 / Systematic review of pregnancy outcomes after fertility-preserving treatment of uterine fibroids / Reprod Biomed Online 40:429~444
Bonafede MM / 2018 / Women with newly diagnosed uterine fibroids : treatment patterns and cost comparison for select treatment options / Popul Health Manag 21(S1):S13~S20
Movilla P / 2020 / Predictors of prolonged operative time for robotic-assisted laparoscopic myomectomy : development of a preoperative calculator for total operative time / J Minim Invasive Gynecol 27:646~654
Lim CS / 2020 / To robot or not to robot : the use of robotics in benign gynecologic surgery / Clin Obstet Gynecol 63:327~336
Khaw SC / 2020 / Systematic review of pregnancy outcomes after fertility-preserving treatment of uterine fibroids / Reprod Biomed Online 40:429~444
Bonafede MM / 2018 / Women with newly diagnosed uterine fibroids : treatment patterns and cost comparison for select treatment options / Popul Health Manag 21(S1):S13~S20
Movilla P / 2020 / Predictors of prolonged operative time for robotic-assisted laparoscopic myomectomy : development of a preoperative calculator for total operative time / J Minim Invasive Gynecol 27:646~654
Lim CS / 2020 / To robot or not to robot : the use of robotics in benign gynecologic surgery / Clin Obstet Gynecol 63:327~336
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