Laparoscopic Myomectomy for Large Myomas.
10.3346/jkms.2007.22.4.706
- Author:
Hyo Jin YOON
1
;
Min Sun KYUNG
;
Un Suk JUNG
;
Joong Sub CHOI
Author Information
1. Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. yjjy.choi@samsung.com
- Publication Type:Original Article
- Keywords:
Laparoscopic Myomectomy;
Myoma Uteri;
Laparoscopy
- MeSH:
Adult;
Feasibility Studies;
Female;
Humans;
Laparoscopy/adverse effects/*methods;
Leiomyoma/pathology/*surgery;
Length of Stay;
Postoperative Complications/etiology;
Reproducibility of Results;
Subcutaneous Emphysema/etiology;
Treatment Outcome;
Uterine Neoplasms/pathology/*surgery
- From:Journal of Korean Medical Science
2007;22(4):706-712
- CountryRepublic of Korea
- Language:English
-
Abstract:
The aim of this study was to assess the feasibility and efficacy of laparoscopic myomectomy (LM) for large myomas. A subpopulation of 51 patients with myomas 8 cm or larger in diameter was selected from 155 patients who underwent LM at Kangbuk Samsung Hospital from July 2003 to November 2006. The mean age of the patients was 34.9+/-5.6 yr, mean parity was 0.6+/-0.9, and 8 patients had a previous operative history. The most common operative indication was a palpable abdominal mass (24 patients, 47%). The mean operating time was 85.6+/-38.9 min, and the mean diameter of the largest myoma was 9.3+/-1.8 cm. The mean change in hemoglobin concentration was 2.1+/-1.2 g/dL. Histopathological diagnosis included 49 patients of leiomyoma (96.1%) and 2 patients of leiomyoma with adenomyosis (3.9%). Postoperatively, a transfusion was done in 7 patients, and a case of subcutaneous emphysema was noted. None of the operations was switched to laparotomy. With the newly-developed screw and the port placement system that was modified from the Choi's 4-trocar method to obtain better surgical vision, LM of large myomas proved to be one of the efficient and feasible methods.
