シオタ　ミツル   Mitsuru Shiota   塩田　充    所属   川崎医療福祉大学  保健看護学部 保健看護学科    職種   特任教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Laparoscopic Myomectomy for the Removal of Large Uterine Myomas
掲載誌名	正式名：Surgery journal (New York, N.Y.) 略　 称：Surg J (N Y) ISSNコード：23785128 (Print)23785128
掲載区分	国外
巻・号・頁	6(Suppl 1),pp.S44-S49
著者・共著者	Sano, R. Suzuki, S. Shiota, M.
担当区分	最終著者
発行年月	2020/05
概要	Laparoscopic myomectomy (LM) is a minimally invasive surgery. However, several complications may occur in cases of extremely large myomas. For example, it can be difficult to acquire a full visual field, and the operation is limited by both technical and physiological restrictions. In addition, the volume of intraoperative bleeding is often increased in comparison to typically sized myomas; therefore, surgical indications are limited for technical reasons and for ensuring safety of the patient. Suturing and ligation techniques, which are indispensable in LM, are difficult procedures to perform. If clinicians are not confident in performing these procedures or experience difficulty in controlling bleeding, then they can alternatively choose to make a small incision in the abdominal wall and perform a procedure called laparoscopically assisted myomectomy. In this article, we describe the process of effectively using LM in cases with giant myomas.
DOI	10.1055/s-0039-1694989
文献番号	32399489
PMID	32399489