Effectiveness of laparoscopic ultrasonography in laparoscopic myomectomy.
Effectiveness of laparoscopic ultrasonography in laparoscopic myomectomy.
复制标题
腹腔镜超声检查在腹腔镜子宫肌瘤切除术中的有效性。
DOI：
10.1111/ases.12728
复制
发表时间：
2020
影响因子：
1
通讯作者：
Matsumura N
中科院分区：
文献类型：
--
作者：
Shigeta M;Kotani Y;Fujishima R;Yo Y;Murakami K;Takaya H;Nakai H;Suzuki A;Tsuji I;Matsumura N
腹腔镜子宫肌瘤切除术（LM）近年来越来越普遍，因为它最大限度地减少了侵入性。然而，肌瘤切除术后可复发。因此，我们开始使用腹腔镜超声检查，包括通过套管针将探头插入腹腔并将其与子宫直接接触。在手术过程中，这使得能够检测直径小至1 mm的肌瘤，这在MRI上通常无法检测到。在这里，我们报告腹腔镜超声检查的有效性。MethodsThe subjects是26名女性谁在我们的机构从2015年2月至2016年12月进行LM。术前进行MRI检查，在LM期间切除MRI上检测到的所有肌瘤。腹腔镜超声检查，然后进行评估残留肌瘤，这是removed.ResultsIn六例（23%），残留肌瘤被确定在腹腔镜超声检查后，第一次摘除术的肌瘤术前MRI检测。所有检测到的残余肌瘤，其中最大的是小于10 mm的直径，被removed.ConclusionSmall肌瘤无法检测到术前MRI腹腔镜超声检查和删除。
IntroductionLaparoscopic myomectomy (LM) has become increasingly common in recent years because it minimizes invasiveness. However, myoma can recur after myomectomy. Therefore, we began using laparoscopic ultrasonography, which involves inserting a probe into the peritoneal cavity via a trocar and placing it in direct contact with the uterus. During surgery, this enables the detection of myomas as a small as 1 mm in diameter, which are often undetectable on MRI. Here, we report the effectiveness of laparoscopic ultrasonography.MethodsThe subjects were 26 women who underwent LM at our institution from February 2015 to December 2016. Preoperative MRI was performed, and all myomas detected on MRI were removed during LM. Laparoscopic ultrasonography was then performed to assess for residual myomas, which were removed.ResultsIn six patients (23%), residual myomas were identified on laparoscopic ultrasonography after the first enucleation of the myomas detected on preoperative MRI. All detected residual myomas, the largest of which was less than 10 mm in diameter, were removed.ConclusionSmall myomas undetectable on preoperative MRI were detected on laparoscopic ultrasonography and removed.