Japanese Journal of Gynecologic and Obstetric Endoscopy最新文献

{"title":"Current educations of surgical procedures in our department, Especially about vaginal and laparoscopic surgery","authors":"悟 寒河江, 美穂 藤井, 晴朗 郷久, 信行 井上, 寛之 本間, 隆一 工藤","doi":"10.5180/JSGOE.16.2_19","DOIUrl":"https://doi.org/10.5180/JSGOE.16.2_19","url":null,"abstract":"","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123741780","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}

{"title":"Perioperative outcomes of the introduction of robot-assisted laparoscopic hysterectomy","authors":"Saki Sawayama, Ryusuke Murakami, Y. Taga, Y. Kawaguchi, A. Yanai, H. Nonogaki","doi":"10.5180/JSGOE.36.2_106","DOIUrl":"https://doi.org/10.5180/JSGOE.36.2_106","url":null,"abstract":"Objective: Perioperative outcomes in the first year of introducing robot-assisted hysterectomy (RAH) using the daVinci Xi surgical system were evaluated based on comparisons with conventional laparoscopic hysterectomy (CLH) for simple hysterectomies performed during the same period. Methods: This was a retrospective study involving comparisons between 38 cases of RAH from June 2019 to April 2020 and 28 cases of CLH from August 2018 to April 2020. All cases involved simple hysterectomies performed by 4 doctors (1 endoscopic technique-certified medical doctor and 3 doctors with less than 10 years of experience). Results: The characteristics of patients who underwent RAH and CLH were as follows, respectively: age, 47 vs 49 years (mean, p=0.62); body mass index, 23.4vs 22.9 kg/m (mean, p=0.57); uterine weight, 152 and 175 g (median, p=0.39); manipulator use, 28 (73%) and 21 (75%) cases (frequency, p=0.90); and 0/4 cases with endometriotic adhesions with Douglas fossa closure, 0 and 4 cases (frequency, p=0.028). The total operation time (from skin incision to skin closure) was significantly shorter in RAH cases (mean difference, 29 minutes; p=0.048) than in CLH cases. There was no significant difference between the two groups in terms of blood loss and perioperative complications. Conclusion: We safely introduced RAH by selecting appropriate cases in advance. In the future, it is necessary to study robot-assisted surgery so that it can be safely introduced in patients with large uterine weights and endometriotic","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123749969","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}

{"title":"Laparoscopic sentinel node detection with indocyanine green and near-infrareted fluorescence imaging for cervical cancer","authors":"K. Umemura, A. Kunishima, Ryosuke Uekusa, Seiko Matsuo, Keiiti Fujita, A. Yabuki, Satoru Katsuki, K. Kitami, Y. Ikeda, Misa Yoshida, M. Takano, Y. Kawai, Mayumi Okada, H. Ando, M. Kawai","doi":"10.5180/JSGOE.31.155","DOIUrl":"https://doi.org/10.5180/JSGOE.31.155","url":null,"abstract":"Objective: Radical hysterectomy with pelvic lymphadenectomy is standard therapy for cervical cancer. The standard surgical lymph node assessment is a systematic lymphadenectomy, but the procedure is associated with lymphedema and lymphocysts. A sentinel lymph node (SLN) is the first node draining the lymphatic flow from a primary tumor. If the SLN is negative for metastasis, nodes after the SLN are also considered to be negative. We report our experience using a new laparoscopic fluorescence imaging system with indocyanine green (ICG) for SLN detection with cervical","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125363132","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}

{"title":"The Place of GnRH Agonists in the Treatment of Endometriosis and Fibroid by Advanced Endoscopic Techniques","authors":"J. Donnez, M. Nisolle, P. Grandjean, S. Gillerot, F. Clerckx","doi":"10.5180/JSGOE.8.88","DOIUrl":"https://doi.org/10.5180/JSGOE.8.88","url":null,"abstract":"Uterine fibroids and endometriosis are common benign diseases of the female genitals. Fibroids are commonly associated with infertility and/or menorrhagia, especially if they are submucosal. Endometriosis is diagnosed in more than 35% of patients undergoing a laparoscopy for infertility. Both diseases are oestrogen-dependant and suppression of the secretion of gonadal steroids by administration of a superactive agonist of LH-RH has been proposed as the non-surgical approach to fibroids and endometriosis. Because most leiomyomata and endometriotic cysts return to near pretreatment size within 4 months after cessation of GnRH-a therapy, these agents cannot be used as difinitive medical therapy but must be considered as an ad juvant for preoperative-reduction of tumor size. Because the GnRH-a therapy induces a menopausal status, it cannot be used during a prolonged period. The principal purpose is to obtain a preoperative reduction of the tumor size so that surgical treatment using endoscopic techniques is possible: 1) hysteroscopic myomectomy in cases of submucosal fibroid. 2) laser vaporization of large endometrial cysts.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126607912","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}

{"title":"Clinical study and training of laparoscopic surgery in our department","authors":"弘 伏木, 英生 吉本, 英子 前田, 友美 生駒","doi":"10.5180/JSGOE.20.190","DOIUrl":"https://doi.org/10.5180/JSGOE.20.190","url":null,"abstract":"","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126831006","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}

{"title":"Clinical study of Trans-Cervical Resection in our department","authors":"幸子 高瀬, 愛子 坂本, 沙織 西原, 泰介 淵脇","doi":"10.5180/JSGOE.20.2_74","DOIUrl":"https://doi.org/10.5180/JSGOE.20.2_74","url":null,"abstract":"","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115060785","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}

{"title":"難治性のAsherman 症候群に対し、子宮鏡術後に再内腔癒着を起こすも妊娠成立し得た1 例","authors":"未知 嶋田, 田邉 康次郎, 亜弥 笹瀬, 松本 沙知子, 斎藤彰治 斎藤彰治, 星合哲郎 星合哲郎, 篤 早坂","doi":"10.5180/JSGOE.33.186","DOIUrl":"https://doi.org/10.5180/JSGOE.33.186","url":null,"abstract":"","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115547216","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}

{"title":"Fertiloscopy is the preferred routine method of pelvic assessment in infertile women","authors":"J. Grudzinskas","doi":"10.5180/JSGOE.18.27","DOIUrl":"https://doi.org/10.5180/JSGOE.18.27","url":null,"abstract":"","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115989505","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}

{"title":"A case of tuberculous peritonitis diagnosed using diagnostic laparoscopic surgery: diagnosis and infection control of tuberculous peritonitis","authors":"S. Tano, K. Uno, M. Yoshihara, M. Mayama, M. Ukai, T. Takeda, T. Yamada, S. Iyoshi, M. Ando, T. Ueno, Kazuki Shimizu, K. Nakao, Shinya Kondo, T. Kokabu, T. Harata, Y. Kishigami, H. Oguchi","doi":"10.5180/JSGOE.32.244","DOIUrl":"https://doi.org/10.5180/JSGOE.32.244","url":null,"abstract":"A 79-year-old woman who had diabetes mellitus, dementia, and breast cancer was referred to our hospital because of ascites. She had no respiratory syndrome. Blood tests revealed an elevated CA125 level (1,224 U/mL), but other tumor markers were within their normal limits. Chest radiography and abdominal computed tomography (CT) detected no signs of malignancy or tuberculosis, but positron emission tomography/CT disclosed abnormal FDG uptake in the omentum, mediastinal lymph node, and diaphragm. Microbiological testing and cytological examination of ascites yielded negative results. We conducted diagnostic laparoscopy while wearing N95 masks and found numerous tiny nodular lesions on the peritoneal surfaces. Pathological examination showed epithelioid granuloma and Langhans giant cells with caseous necrosis, which are characteristic to tuberculosis. Although the Ziehl-Neelsen staining result was negative, interferon-gamma release assays were positive. Tuberculous peritonitis (TBP) was diagnosed, and a combination drug regimen of isoniazid, rifampicin, and pyrazinamide was administered. She has been free from recurrence since the completion of chemotherapy. Throughout the clinical course, Mycobacterium tuberculosis was undetected. TBP is a form of abdominal and pelvic tuberculosis that accounts for about 0.04% of all cases of tuberculosis. The risk is increased in patients with cirrhosis, acquired immune deficiency syndrome, diabetes mellitus, steroid use, or underlying malignancy, and those undergoing continuous ambulatory peritoneal dialysis. TBP, which might be confused with widespread ovarian cancer, should be included in the differential diagnosis of ascites. Because preoperative diagnosis of TBP is difficult, laparoscopic surgery is helpful to distinguish TBP from ovarian cancer. We also suggest the importance of assessing the risk of infectiousness of TBP patients.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116036409","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}

{"title":"Umbilicoplasty via Single-Incision Laparoscopic Surgery","authors":"M. Kawa, Satoko Ishibashi, Yoshikazu Sasaki, H. Hirano","doi":"10.5180/JSGOE.30.441","DOIUrl":"https://doi.org/10.5180/JSGOE.30.441","url":null,"abstract":"Single-incision laparoscopic surgery (TANKO) has been developed in an attempt to improve cosmetic results. However, TANKO is often more technically difficult than multi-port laparoscopic surgery (MLPS) because of the restricted mobility; furthermore, several prospective randomized controlled trials have shown that TANKO has only cosmetic advantages. Moreover, if TANKO is performed on a patient with a shallow umbilicus and sparse subcutaneous adipose tissue, the umbilical scar may be highly visible because of the requirement of a larger periumbilical skin incision for TANKO, compared to MLPS. To resolve this problem, we describe a method of umbilicoplasty using TANKO for removal of ovarian tumors in three patients. All three patients were satisfied with the cosmetic result.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116039897","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}