Japanese Journal of Gynecologic and Obstetric Endoscopy最新文献_第9页

A case of peritoneal pregnancy on the pouch of Douglas: Laparoscopic removal of the gestational sac using a reusable surgical probe for the rectum 道格拉斯袋腹膜妊娠一例:腹腔镜下使用可重复使用的直肠手术探针去除妊娠囊

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.36.2_176

Hiroaki Hiraga, Hiroki Kurosawa, Tadashi Watanabe, Kazuma Tagami, H. Igarashi, T. Iwasawa, Y. Muraoka, Yoh Watanabe

{"title":"A case of peritoneal pregnancy on the pouch of Douglas: Laparoscopic removal of the gestational sac using a reusable surgical probe for the rectum","authors":"Hiroaki Hiraga, Hiroki Kurosawa, Tadashi Watanabe, Kazuma Tagami, H. Igarashi, T. Iwasawa, Y. Muraoka, Yoh Watanabe","doi":"10.5180/JSGOE.36.2_176","DOIUrl":"https://doi.org/10.5180/JSGOE.36.2_176","url":null,"abstract":"Peritoneal pregnancy is relatively rare and accounts for approximately 1% of all ectopic pregnancies. Accurately diagnosing peritoneal pregnancy before surgery is difficult; thus, gynecologists may encounter the disease accidentally. Many studies have reported that peritoneal pregnancy is preoperatively diagnosed as tubal pregnancy. The implantation sites varied in each case. In some cases, the implantation sites can be close to other organs such as the rectum, ureter, and bladder. Thus, it is important for operators to take measures to not injure the organs. Here, we report a case of peritoneal pregnancy implanted on the pouch of Douglas inside of the right uterosacral ligament. The gestational sac did not develop in the abdominal space but developed in the retroperitoneal space; thus, it should have been near the rectum. When laparoscopy was initiated, the positional relationship between the rectum and gestational sac was unclear. We inserted a reusable surgical probe (Rectal Sonde ® ) into the rectum and moved it slowly and carefully and assessed the positional relationship. We safely removed the gestational sac. A reusable surgical probe for the rectum has been reported to be useful for laparoscopic adhesiolysis of the posterior cul-de-sac obliteration associated with endometriosis. We reported the usefulness of the probe in laparoscopic surgery to remove ectopic gestational sacs near the rectum.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"16 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":"122479339","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

Our experience with utility of Bio-Texture Modeling for simulating laparoscopic myomectomy 应用生物纹理模型模拟腹腔镜子宫肌瘤切除术的经验

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/jsgoe.36.1_220

K. Akari, Kikuchi Iwaho, Ichiyama Takuhiko, Takamizu Ai, Yamada Atsuko, Ujihira Takafumi, Ota Tsuyosi, Yoshida Koyo

{"title":"Our experience with utility of Bio-Texture Modeling for simulating laparoscopic myomectomy","authors":"K. Akari, Kikuchi Iwaho, Ichiyama Takuhiko, Takamizu Ai, Yamada Atsuko, Ujihira Takafumi, Ota Tsuyosi, Yoshida Koyo","doi":"10.5180/jsgoe.36.1_220","DOIUrl":"https://doi.org/10.5180/jsgoe.36.1_220","url":null,"abstract":"Objective: Laparoscopic myomectomy is the operative method for fertility preservation. Precise sutures are important to ensure the safety of postoperative pregnancy and delivery. To acquire suturing and ligation techniques, a dry box is often used. However, it is different from real surgery. We report the results of using a three-dimensional (3D) model made from materials such as real objects for training. Methods: Bio-Texture Modeling technology by FASOTEC Corporation is already applied to other fields. We collaborated with FASOTEC and produced a 3D model uterus that is constituted of a myoma and the myometrium. Results: We used a 3D model to dissect the myoma and the myometrium and sutured them. Subsequently, we could evaluate our suturing techniques by making sure whether there is dead space. Furthermore, we could reuse this model by cutting the sutures multiple times. Additionally, since this model reproduces the real texture of hardness and viscosity by Bio-Texture Modeling, it is worthwhile to simulate in-bag morcellation. Conclusions: Laboratory animal training is used as a method of laparoscopic surgery simulation. Although it is good for training in dissection, vessel ligation, hemostasis, and internal genitalia, the model is not similar to humans. Furthermore, there are many problems, such as animal protection and high costs. Considering these disadvantages, it is useful to train with a 3D model in a dry lab for laparoscopic myomectomy.","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":"122487078","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

A case of laparoscopically assisted combined resection of the round ligament for dienogest-resistant inguinal endometriosis 腹腔镜联合切除圆形韧带治疗腹股沟子宫内膜异位症1例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/jsgoe.38.1_170

Yuma Kawahara, Tomoko Inoue, Eri Aotsuka, Daiki Samejima, Ikumi Akiyama, T. Hirata

引用次数: 0

Evaluation of Laparoscopic Surgery for Adnexal Masses in Pregnancy 腹腔镜手术治疗妊娠期附件肿块的疗效评价

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.28.627

T. Kusakari, N. Sumida, Satomi Suzuki, Yihisien Enatsu, K. Murata, N. Tatsumi

引用次数: 1

Two cases of mucocele during laparoscopic surgery 腹腔镜手术中粘液囊肿2例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.28.373

Tsuyoshi Kondo, T. Shionoiri, I. Shiozawa, M. Miyamoto, Yasushi Kirii

{"title":"Two cases of mucocele during laparoscopic surgery","authors":"Tsuyoshi Kondo, T. Shionoiri, I. Shiozawa, M. Miyamoto, Yasushi Kirii","doi":"10.5180/JSGOE.28.373","DOIUrl":"https://doi.org/10.5180/JSGOE.28.373","url":null,"abstract":"s: Pseudomyxoma peritonei results from rupture of a mucocele. Mucoceles of gastrointestinal origin must be differentiated from ovarian tumors. Atypical, proliferative mucinous tumors and well-differentiated intestinal type mucinous adenocarcinoma may arise in a mature cystic teratoma. Pseudomyxoma peritonei has a poor prognosis, and difficulty in preoperative differential diagnosis of ovarian tumors and mucocele is an important factor. We experienced 2 cases of pseudomyxoma peritonei diagnosed at laparoscopic surgery after preoperative diagnosis of ovarian tumor. In case 1, the tumor was on the posterior rectum, and the distance with the uterus had been observed by MRI. At surgery, the ovaries were normal, and the rectal origin of the tumor was confirmed. In case 2, the CEA was elevated, but there was not a solid portion of ovarian carcinoma suspicious for tumor, and the tumor was diagnosed as appendiceal in origin. Both cases had presented atypical shapes for ovarian tumor on MRI. Because the differential diagnosis of mucocele is difficult, gynecologists sometimes encounter them at surgery. Early intervention before rupture is important, and MRI and laparoscopic surgery are important for diagnosis of pseudomyxoma peritonei.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"29 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":"123005175","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

Recurrence of a granulosa cell tumor resected by laparoscopic surgery: A case report 腹腔镜手术切除的颗粒细胞肿瘤复发1例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.28.576

C. Sasakura, S. Hirabuki, H. Sasaki, H. Kawamura, T. Hoshiba

{"title":"Recurrence of a granulosa cell tumor resected by laparoscopic surgery: A case report","authors":"C. Sasakura, S. Hirabuki, H. Sasaki, H. Kawamura, T. Hoshiba","doi":"10.5180/JSGOE.28.576","DOIUrl":"https://doi.org/10.5180/JSGOE.28.576","url":null,"abstract":"Abstruct Management of a recurrent ovarian tumor often requires multiple surgical procedures. However, repeated abdominal surgery can be a burden for the patient both physically and psychologically. A 45 year old nulligravida underwent a left abdominal salpingo-oophorectomy due to an ipsilateral ovarian cystic tumor; the tumor was subsequently diagnosed histologically as a granulosa cell tumor (GCT). She was referred to our hospital due to an incidentally-detected right ovarian cystic tumor one year after the first surgery. A laparoscopic right salpingo-oophrectomy and hysterectomy was performed out because a recurrent GCT was suspected. However, the right ovarian cyst was found to be benign by histologic diagnosis. One year and 10 months after the second surgery, a solid peritoneal tumor was found on the right abdominal wall. The tumor was well-demarcated, and was resected laparoscopically. One year and four months after the third surgery, a well demarcated tumor was detected anterior to the rectum. The tumor was located at the vaginal cuff, and was resected laparoscopically. The third and fourth tumors were histopathology confirmed as a GCT recurrence. She is currently undergoing three consecutive chemotherapy cycles with pepleomycin, etoposide, and cisplatin. It is known that ovarian GCT can recur repeatedly over a period of years, and the standard treatment is surgery. Therefore, recurrent GCT patients often endure multiple surgical procedures and are exposed to the risk of acute and chronic surgical complication. Laparoscopic surgery is usually is not recommended for ovarian tumors suspicious of malignancy; however, adopting a laparoscopic approach to minimize surgical damage might be appropriate for selected cases, such as recurrent GCT.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"243 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":"114276076","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

A case report of gynecological laparoscopic surgery for the morbidly obese patient 妇科腹腔镜手术治疗病态肥胖患者1例报告

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.20.181

秀夫吉成, 勉干場, 里奈齋藤, 博士石川, 信弥平吹, 博正佐々木, 明弘朝本

引用次数: 0

Analysis of Patients with ovarian tumor in pregnancy who underwent Endoscopic or Open Abdominal Surgery 妊娠期卵巢肿瘤患者行内镜或开腹手术的分析

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.26.565

S. Igarashi, Midori Tamura, M. Ishiyama, H. Kondo, N. Suzuki, J. Saito, K. Kiguchi, B. Ishizuka

{"title":"Analysis of Patients with ovarian tumor in pregnancy who underwent Endoscopic or Open Abdominal Surgery","authors":"S. Igarashi, Midori Tamura, M. Ishiyama, H. Kondo, N. Suzuki, J. Saito, K. Kiguchi, B. Ishizuka","doi":"10.5180/JSGOE.26.565","DOIUrl":"https://doi.org/10.5180/JSGOE.26.565","url":null,"abstract":"Objective It has been reported that an ovarian tumor is diagnosed during pregnancy in 0.21-1.24% of cases. Patients with ovarian tumor who underwent surgery in pregnancy from 2004 to 2008 were reviewed.Design During these 5-years, there were 3,837 deliveries in our hospital, and 16 of which underwent surgery due to an ovarian tumor. A retrospective analysis of these cases was performed.Results Laparoscopic surgery was performed in 9 patients, while the remaining 7 patients underwent open abdominal surgery. The tumor was determined to be malignant in 2 patients. The mean patient age at the time of surgery was 31.4 years, and the median number of gestational age at surgery was 16 weeks. The median value for the maximal tumor diameter was 9 cm. Overall, among the patients with ovarian tumors complicating their pregnancy, the pathological diagnosis was a mature cystic teratoma in 9 patients, which was the predominant type, followed by an endometriotic cyst in 3 patients and a malignant tumor in 2 patients. These malignant tumors consisted of an immature teratoma (G2) and a yolk sac tumor, and these patients are currently undergoing chemotherapy.Conclusion Patients should be examined for the possible presence of an ovarian tumor early in gestation. Once a tumor is present and indication of operation is judged to be appropriate, it is necessary to carefully determine the best time and method for the surgery in each individual patient.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"202 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":"121858341","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

A case of diagnostic laparoscopy of lymph node recurrence following conization for cervical cancer stage IA1 腹腔镜诊断宫颈癌IA1期术后淋巴结复发1例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.31.460

Yuichiro Kato, Osamu Mochizuki, Y. Chida, Kei Takehara

引用次数: 0

Laparoscopic sacrocolpopexy with concurrent ventral rectopexy for pelvic organ and rectal prolapse: A report of two cases 腹腔镜骶结肠固定术并发腹侧直肠固定术治疗盆腔器官和直肠脱垂2例报告

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/jsgoe.38.1_104

Yūji Itō, Jyunpei Harunari, A. Kasuga, T. Takagi, K. Shiozawa

引用次数: 0