A critical assessment of morcellation and its impact on gynecologic surgery and the limitations of the existing literature.
A critical assessment of morcellation and its impact on gynecologic surgery and the limitations of the existing literature.
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DOI：
10.1016/j.ajog.2015.01.012
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发表时间：
2015-06
影响因子：
9.8
通讯作者：
Bristow, Robert E.
中科院分区：
文献类型：
--
作者：
Liu, Fong W.;Galvan-Turner, Valerie B.;Pfaendler, Krista S.;Longoria, Teresa C.;Bristow, Robert E.
子宫肉瘤是一种罕见的子宫恶性肿瘤，术前诊断困难。由于腹腔镜子宫切除术后播散性肉瘤的病例，动力粉碎器在妇科手术中的作用一直受到质疑。分拆术是使腹腔镜手术切除大子宫平滑肌瘤成为可能的一个组成部分，动力分拆术的发展提高了这些手术的效率。微创手术的好处包括改善疼痛控制，降低感染风险，更快的手术恢复和恢复工作。在这篇综述中，我们研究了手术时偶发肉瘤的风险，数据的质量，子宫肉瘤临床和放射学预测的准确性，以及分块术对子宫肉瘤预后的影响。
Uterine sarcomas are rare uterine malignancies that are difficult to diagnose preoperatively. Because of cases of disseminated sarcoma after laparoscopic hysterectomy, the role of power morcellators in gynecologic surgery has been questioned. Morcellation is an integral part of making laparoscopic surgery possible for the removal of large uterine leiomyomata, and the development of power morcellation has increased efficiency during these procedures. Minimally invasive surgery has demonstrated benefits that include improved pain control, decreased infection risk, and faster surgical recovery and return to work. In this review, we examine the risk of incidental sarcoma at the time of surgery, the quality of the data, the accuracy of clinical and radiologic predictors of uterine sarcoma, and the impact of morcellation on the prognosis of uterine sarcoma.
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影响因子：
7.1
作者：
Hata, K;Hata, T;Hirai, M
通讯作者：
Hirai, M
影响因子：
6.7
作者：
Baird, Donna Day;Garrett, Tiana A.;Laughlin, Shannon K.;Davis, Barbara;Semelka, Richard C.;Peddada, Shyamal D.
通讯作者：
Peddada, Shyamal D.
影响因子：
6.2
作者：
George, Suzanne;Barysauskas, Constance;Muto, Michael G.
通讯作者：
Muto, Michael G.
影响因子：
4.1
作者：
Della Badia, Carl;Karini, Homa
通讯作者：
Karini, Homa
影响因子：
3.3
作者：
Ehdaivand, Shahrzad;Simon, Rochelle A.;Quddus, M. Ruhul
通讯作者：
Quddus, M. Ruhul