Japanese Journal of Gynecologic and Obstetric Endoscopy最新文献

A case of laparoscopic adhesiolysis and cutting of a cord like structure of the vaginal stump for persistent pain after hysterectomy 子宫切除术后持续疼痛的腹腔镜下阴道残端粘连松解及索状结构切割一例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2012-08-01 DOI: 10.5180/JSGOE.28.394

Egawa-Takata Tomomi, Kashihara Hiromi, Kusanishi Hiroshi, Maenaka Takahide, Tsukahara Chikako, Iwata Noriko, Hisamoto Koji, Kunishige Ichiro, Nishio Yukihiro

{"title":"A case of laparoscopic adhesiolysis and cutting of a cord like structure of the vaginal stump for persistent pain after hysterectomy","authors":"Egawa-Takata Tomomi, Kashihara Hiromi, Kusanishi Hiroshi, Maenaka Takahide, Tsukahara Chikako, Iwata Noriko, Hisamoto Koji, Kunishige Ichiro, Nishio Yukihiro","doi":"10.5180/JSGOE.28.394","DOIUrl":"https://doi.org/10.5180/JSGOE.28.394","url":null,"abstract":"Objective: Some patients are suffered from persistent pain after hysterectomy and the reason of the pain is usually unknown. We experience a case of laparoscopic adhesiolysis and cutting of vaginal stump for persistent pain after hysterectomy. Case: A 22 years old female patient underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy for gender identity disorder in a foreign country. She complained lower abdominal pain soon after surgery and it persisted. The diagnosis was infection of the vaginal stump for the first, but the pain was not resolved after treatment with a course of antibiotics. The point of the tenderness was on the left side of the half of the vaginal stump. Blood examination, ultrasonography, upper and lower endoscopy, and CT did not reveal the reason of persistent pain. Diagnostic laparoscopy revealed the existence of adhesion and a cord like structure of the vaginal stump. The pain was diminished after laparoscopic adhesiolysis and cutting the cord like structure of the vaginal stump. Conclusion: Diagnostic laparoscopy can be of benefit to abdominal pain with unknown reason. Laparoscopic adhesiolysis and cutting the cord like structure of the vaginal stump were effective to the resolve of the pain of this patient.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115887440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of voice training for reducing misrecognition with use of AESOP3000 使用AESOP3000进行语音训练减少误认的效果

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2010-12-01 DOI: 10.5180/JSGOE.26.526

T. Ishikawa, T. Mikoshiba, T. Mimura, Y. Noguchi

{"title":"Effect of voice training for reducing misrecognition with use of AESOP3000","authors":"T. Ishikawa, T. Mikoshiba, T. Mimura, Y. Noguchi","doi":"10.5180/JSGOE.26.526","DOIUrl":"https://doi.org/10.5180/JSGOE.26.526","url":null,"abstract":"Objectives: AESOP3000 is a computer-driven robot capable of holding and positioning a laparoscope under the direct voice control of a surgeon. This device could be especially helpful when surgeon availability is low. Because we have occasionally experienced voice misrecognition in test situations, we conducted a study to determine whether or not voice training is an effective corrective measure for this problem. Methods: At voice card recording, we modified pronunciation and accent for a number of commands (AESOP, Back, Up, In, Down, Right, Left) in English-speaking mode, and carried out 26 of 63 laparoscopic maneuvers. Conventional voice cards were also used in the same series of operations for comparison. Results: With the stated modifications, voice misrecognition rates for most commands were significantly reduced as follows: AESOP: 17.5% to 9.2% (p<0.001), Back: 23.9% to 8.3% (p<0.001), Up: 18.5% to 6.7% (p<0.001), In: 9.4% to 8.0%, Down: 8.7% to 4.2% (p<0.05), Right: 4.3% to 3.4%, Left: 25.1% to 13.1% (p<0.001). Conclusions: While not 100% effective, pronunciation training is a valid means of reducing AESOP3000 voice misrecognition.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114607457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Persistent ectopic pregnancy and recurrent ectopic pregnancy in our institute 本院持续性异位妊娠及复发性异位妊娠

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2010-12-01 DOI: 10.5180/JSGOE.26.516

Misugi Matsuoka, Y. Hirota, H. Nishizawa, Takahiro Sako, A. Yasue, E. Nishio, K. Tsukada, S. Tada, Y. Udagawa

{"title":"Persistent ectopic pregnancy and recurrent ectopic pregnancy in our institute","authors":"Misugi Matsuoka, Y. Hirota, H. Nishizawa, Takahiro Sako, A. Yasue, E. Nishio, K. Tsukada, S. Tada, Y. Udagawa","doi":"10.5180/JSGOE.26.516","DOIUrl":"https://doi.org/10.5180/JSGOE.26.516","url":null,"abstract":"In recent years, improvements in diagnostic technology have enabled the early detection of ectopic pregnancy, and the opportunities for preserving the oviduct have increased, particularly as laparoscopic surgery has become the first-line choice for treatment of ectopic pregnancy in an increasing number of institutions. At our institution we use laparoscopic techniques to attempt oviduct preservation in patients with ectopic pregnancy who wish to become pregnant again. In this report, we examined the rates of persistent ectopic pregnancy and repeat ectopic pregnancy over a ten year period in patients who were treated laparoscopically with oviduct preservation. When compared with other treatments, we found a lower rate of persistent and recurrent ectopic pregnancy in women who were treated with oviduct-persevering laparoscopy. We conclude that laparoscopic surgery with oviduct preservation should be the therapy of choice for ectopic pregnancy when the patient still desires to get pregnant. However, a thoroughly informed consent detailing the risks of persistent and recurrent ectopic pregnancies must be a priority because of the high emotional toll of these complications.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128276292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopic versus abdominal myomectomy, size and number of the myomas from limiting factors for laparoscopic myomectomy 腹腔镜子宫肌瘤切除术与腹部子宫肌瘤切除术，子宫肌瘤的大小和数量是腹腔镜子宫肌瘤切除术的限制因素

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2010-12-01 DOI: 10.5180/JSGOE.26.462

Chiharu Tomonaga, Hirohide Inagaki, E. Shibata, S. Aramaki, Kensuke Saito, T. Kawagoe, N. Toki, Y. Matsuura, T. Hachisuga

{"title":"Laparoscopic versus abdominal myomectomy, size and number of the myomas from limiting factors for laparoscopic myomectomy","authors":"Chiharu Tomonaga, Hirohide Inagaki, E. Shibata, S. Aramaki, Kensuke Saito, T. Kawagoe, N. Toki, Y. Matsuura, T. Hachisuga","doi":"10.5180/JSGOE.26.462","DOIUrl":"https://doi.org/10.5180/JSGOE.26.462","url":null,"abstract":"子宮筋腫は成人女性において最も発生頻度の高い婦人科疾患の1つであり、30歳以上の女性の20 ~30%に認められる。症状を有する子宮筋腫に対しては外科的治療が主流であり、子宮温存を希望する症例や挙児希望のある症例に関しては子宮筋腫核出術が行われる。近年では術後の癒着防止や疼痛軽減、退院期間の短縮等を考慮し、腹腔鏡下の子宮筋腫核出術を選択されることが多くなっている。一般的に腹腔鏡下の筋腫核出術には、すべての操作を腹腔鏡下に行う腹腔鏡下子宮筋腫核出術 (Laparoscopic myomectomy、以下LM)と、腹壁に小切開を加えそこからの操作の補助で行う腹腔鏡補助下子宮筋腫核出術(Laparoscopically assisted myomectomy、以下LAM)がある。当科では2006年7月より腹腔鏡および子宮鏡による手術、検査を施行しており、年々症例数は増加している。このうち子宮筋腫症例に関しては、子宮温存希望がある患者で適応を考慮し、可能であれば積極的に腹腔鏡での筋腫核出術を行っている。なお、当科では全例をLMで行っている。今回、当科で行ったLM症例と同時期の腹式子宮筋腫核出術(abdominal myomectomy、以下AM) 症例について比較検討し、LM症例の適応について考察した。","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115474870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unsuccessful hysteroscopic removal of a large calcified submucous myoma 宫腔镜切除大钙化粘液下肌瘤不成功

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2010-12-01 DOI: 10.5180/JSGOE.26.422

B. Lin, Y. Kasuga, T. Matsuoka, Takayuki Higuchi, Sakura Nakada, Sokichi Iwata

引用次数: 3

Clinicopathological analysis of Laparoscopically Removed Appendices of Nineteen Patients with Endometriosis 子宫内膜异位症腹腔镜切除阑尾19例临床病理分析

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2010-12-01 DOI: 10.5180/JSGOE.26.560

Yosuke Konno, M. Kudo, D. Akashi, Satomi Kikawa, S. Nishi, Tatsuya Kato, S. Sudo, Takayuki Koshida, Y. Wakui, Tosihiro Ookouchi, H. Minakami, N. Sakuragi

{"title":"Clinicopathological analysis of Laparoscopically Removed Appendices of Nineteen Patients with Endometriosis","authors":"Yosuke Konno, M. Kudo, D. Akashi, Satomi Kikawa, S. Nishi, Tatsuya Kato, S. Sudo, Takayuki Koshida, Y. Wakui, Tosihiro Ookouchi, H. Minakami, N. Sakuragi","doi":"10.5180/JSGOE.26.560","DOIUrl":"https://doi.org/10.5180/JSGOE.26.560","url":null,"abstract":"Objective: Considered to be a cause of unexplained chronic pelvic pain, appendiceal endometriosis is relatively rare, accounting for only 3% of all pathologic lesions of this disorder. In this study, we analyzed the clinicopathologic findings of resected appendices with an abnormal appearance discovered during laparoscopic surgery for endometriosis.Patients and Methods: We performed laparoscopic surgery on 309 patients with endometriosis between January 2006 and December 2008 in Hokkaido University Hospital and its affiliated hospitals. Nineteen patients underwent laparoscopic appendectomy after careful pathologic inspection of their appendices.Results: An abnormal appendiceal appearance was found in 17 of 19 patients; the remaining 2 patients possessed no superficial appendiceal abnormalities but had chronic pelvic pein. Of 17 cases with abnormal appendiceal appearance, 16 (94.1%) had pathological abnormalities: appendiceal endometriosis was found in 12 cases and appendicitis in 4 cases. Two patients affected by chronic pelvic pain with normal appendiceal appearances had appendices with no pathological abnormalities. The prevalence of appendiceal endometriosis in this study was 3.9% (12/309). All patients with appendiceal endometriosis had endometriomas. Neither conversion to open surgery nor treatment for surgical complication was necessary.Conclusion: Laparoscopic appendectomy is an appropriate procedure for patients with endometriosis if they have abnormal appendiceal appearances. During laparoscopic surgery for endometriosis, especially in the case of endometrioma, close observation of the appendix may allow surgeons to remove endometriotic lesions more thoroughly.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116820092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Three cases of placental polyp successfully treated by hysteroscopic resection after uerine artery embolization (UAE) or iliac artery occlusion 腹腔镜下行子宫动脉栓塞或髂动脉闭塞术治疗胎盘息肉3例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2010-12-01 DOI: 10.5180/JSGOE.26.550

N. Takahashi, N. Yoshino, M. Moriyama, O. Iwanari

引用次数: 0

A Case of an Inflammatory Pseudotumor of the Uterus Diagnosed After Laparoscopic Surgery 腹腔镜手术后诊断子宫炎性假瘤1例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2010-12-01 DOI: 10.5180/JSGOE.26.414

N. Yoshino, N. Takahashi, J. Nishimura, K. Egawa, T. Ueda, S. Matsuoka, H. Kurioka, S. Moriyama, Kazuo Katou, K. Yamamoto, O. Iwanari

引用次数: 0

Effect of surgical experience in total laparoscopic cystectomy for mature ovarian cystic teratomas on patient outcomes 腹腔镜下成熟卵巢囊性畸胎瘤全切除术的手术经验对患者预后的影响

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2010-07-01 DOI: 10.5180/JSGOE.26.264

T. Hachisuga, Hirohide Inagaki, E. Sibata, T. Kawagoe, N. Toki, Y. Matsuura, K. Shirota, S. Horiuchi, H. Tsujioka, S. Miyamoto

{"title":"Effect of surgical experience in total laparoscopic cystectomy for mature ovarian cystic teratomas on patient outcomes","authors":"T. Hachisuga, Hirohide Inagaki, E. Sibata, T. Kawagoe, N. Toki, Y. Matsuura, K. Shirota, S. Horiuchi, H. Tsujioka, S. Miyamoto","doi":"10.5180/JSGOE.26.264","DOIUrl":"https://doi.org/10.5180/JSGOE.26.264","url":null,"abstract":"Objective: To compare one surgeon's outcomes involving total laparoscopic cystectomies (TLCs) for mature ovarian cystic teratomas between two time periods (1995-1998 and 2007-2008). Design: Retrospective study (Canadian Task Force Classification III). Setting: Two university hospitals.Patients: Sixty-three women with mature cystic teratomas.Interventions: Women who underwent TLCs in 1995-1998 or 2007-2008 for mature cystic teratomas.Main outcome, Measures: We determined the age of the patient, diameter of the tumor, surgical time, blood loss, intra-operative leakage, and post-operative hospital stay, Results: In 32 women, 38 mature cystic teratomas were treated by TLC during 1995-1998 (group A). In 31 women, 32 mature cystic teratomas were treated by TLC during 2007-2008 (group B). The 70 mature cystic teratomas were performed by one surgeon (the first author). The incidence of intra-operative leakage was significantly decreased in group B compared to group A (2 vs. 16, P<0.001) and the post-operative hospital stay was significantly shorter in group B compared to group A (mean, 4.0 vs. 6.6 days, P<0.001). The age of the patients, diameter of the tumor, surgical time, and blood loss were not significantly different between groups A and B. Conclusion: Increased laparoscopic surgical experience was significantly associated with a decreased incidence of intra-operative leakage during TLC, and may reflect advances in laparoscopic instrumentation.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124874539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopic surgery for early-stage endometrial cancer: Peri-operative outcomes and prognosis at Oji General Hospital 腹腔镜手术治疗早期子宫内膜癌:在王子总医院的围手术期结果和预后

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2010-07-01 DOI: 10.5180/JSGOE.26.281

K. Mitsube, Maki Kanno, M. Nakatani, M. Kudo, E. Nomura

{"title":"Laparoscopic surgery for early-stage endometrial cancer: Peri-operative outcomes and prognosis at Oji General Hospital","authors":"K. Mitsube, Maki Kanno, M. Nakatani, M. Kudo, E. Nomura","doi":"10.5180/JSGOE.26.281","DOIUrl":"https://doi.org/10.5180/JSGOE.26.281","url":null,"abstract":"Objectives: The aims of this study were to report the feasibility of laparoscopic surgery for early-stage endometrial cancer and to assess the effects of laparoscopic surgery on the survival of patients.Methods: Twenty-three patients with clinical stage I and IIa endometrial cancer were treated by laparoscopy (laparoscopy group [LS]). The surgical procedures included hysterectomy, salpingo-oophorectomy, and para-aortic-pelvic lymphadenectomy. Peri-operative morbidities and outcomes were compared with 20 control patients who were treated with traditional open surgery (laparotomy group [LT]). The recurrence rate, overall survival, and progression-free survival were also compared between the groups.Results: All 23 patients were treated successfully with laparoscopy. The mean operative time was 419.5 and 321.8 min in the LS and LT groups, respectively. Two intra-operative and 5 post-operative complications occurred in the LS group, but the complication rates were not significantly different from in the complications in the LT group. An earlier recovery and a shorter hospital stay were features of the LS group. There were no differences in recurrence rate, progression-free survival, and overall survival between the LS and LT groups.Conclusion: Laparoscopic surgery of early-stage endometrial cancer is a valid alternative to traditional open surgery, with an earlier recovery and improved quality of life without compromising prognosis.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124358774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0