Total laparoscopic hysterectomy for large uterine cervical myoma

Molecular and Clinical Oncology
Kentaro NakayamaSatoru Kyo

Abstract

Ureterolysis is a surgical method with a high level of difficulty, which may be necessary when performing total laparoscopic hysterectomy (TLH) for large cervical myoma, despite the benign nature of this tumor. The aim of the present study was to introduce techniques that are commonly applied in malignant tumor surgery in order to safely perform TLH for large cervical myoma. Between 2014 and 2016, TLH was performed at the Shimane University Hospital (Izumo, Japan) in 153 patients with benign tumors, including 25 cases with a large uterus (uterine weight ≥500 g). The surgical methods applied in 3 of these large uterine cervical myoma cases were investigated in detail, including techniques devised by our department. TLH was performed without enucleating myomectomy in all 3 cases; however, all 3 cases required ureterolysis, transection of the anterior layer of the vesicouterine ligament and isolation of the ureter. In conclusion, although radical laparoscopic hysterectomy is commonly performed for cervical cancer at our department, techniques used for malignant tumor surgery may prove useful for benign cases with a high level of difficulty.

References

May 5, 2011·Human Reproduction·Tea H I BrummerPäivi Härkki
Sep 10, 2013·Journal of Minimally Invasive Gynecology·Stefano UccellaFabio Ghezzi
Aug 28, 2014·Obstetrics and Gynecology·Sarah L CohenTony Shibley

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Citations

Dec 11, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Mo ChenLiangqing Yao
Aug 17, 2021·BJOG : an International Journal of Obstetrics and Gynaecology·Shengke WangFujie Zhao

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Methods Mentioned

BETA
hysterectomy
dissect
dissection
dissects

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