Gynecology and Minimally Invasive Therapy-GMIT最新文献_第3页

Robot-Assisted versus Laparoscopic Surgery for Pelvic Lymph Node Dissection in Patients with Gynecologic Malignancies. 妇科恶性肿瘤患者盆腔淋巴结清扫机器人辅助手术与腹腔镜手术的比较

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-12-07 eCollection Date: 2024-01-01 DOI: 10.4103/gmit.gmit_9_23

Kiyoshi Aiko, Kiyoshi Kanno, Shiori Yanai, Mari Sawada, Shintaro Sakate, Masaaki Andou

{"title":"Robot-Assisted versus Laparoscopic Surgery for Pelvic Lymph Node Dissection in Patients with Gynecologic Malignancies.","authors":"Kiyoshi Aiko, Kiyoshi Kanno, Shiori Yanai, Mari Sawada, Shintaro Sakate, Masaaki Andou","doi":"10.4103/gmit.gmit_9_23","DOIUrl":"10.4103/gmit.gmit_9_23","url":null,"abstract":"Objectives: The objective of this study was to compare the surgical outcomes for pelvic lymph node dissection (PLND) performed through conventional laparoscopic surgery (CLS) versus robot-assisted surgery (RAS) in patients with gynecologic malignancies.Materials and methods: Perioperative data, including operative time, estimated blood loss, and complications, were retrospectively analyzed in 731 patients with gynecologic malignancies who underwent transperitoneal PLND, including 460 and 271 in the CLS and RAS groups, respectively. Data were statistically analyzed using the Chi-square test or Student's t-test as appropriate. P < 0.05 was considered statistically significant.Results: The mean age was 50 ± 14 years and 53 ± 13 years in the RAS and CLS groups (P < 0.01), respectively. The mean body mass index was 23.4 ± 4.8 kg/m2 and 22.4 ± 3.6 kg/m2 in the RAS group and CLS groups (P < 0.01), respectively. The operative time, blood loss, and number of resected lymph nodes were 52 ± 15 min, 110 ± 88 mL, and 45 ± 17, respectively, in the RAS group and 46 ± 15 min, 89 ± 78 mL, and 38 ± 16, respectively, in the CLS group (all P < 0.01). The rate of Clavien-Dindo Grade ≥ III complications was 6.3% and 8.7% in the RAS and CLS groups, respectively (P = 0.17).Conclusion: Shorter operative time and lower blood loss are achieved when PLND for gynecologic malignancies is performed through CLS rather than RAS. However, RAS results in the resection of a greater number of pelvic lymph nodes.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 1","pages":"37-42"},"PeriodicalIF":1.2,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10936717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Simple Enterolysis Techniques during Minimally Invasive Gynecologic Surgery. 妇科微创手术中的简单肠溶技术。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-12-07 eCollection Date: 2024-04-01 DOI: 10.4103/gmit.gmit_44_23

Gillian Patrick Cruz Gonzalez, Chyi-Long Lee, Jhanice Paredes, Zin Mar Lay, Kuan-Gen Huang

引用次数: 0

The Role of Three-dimensional Laparoscopy in Gynecology: Time to Revise Our Perspective? 三维腹腔镜在妇科中的作用：是时候修正我们的观点了吗？

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-12-07 eCollection Date: 2024-01-01 DOI: 10.4103/gmit.gmit_99_23

Chyi-Long Lee, Tanvi Desai, Kuan-Gen Huang

引用次数: 0

The Current Trend of Fertility Preservation in Patients with Cervical Cancer. 宫颈癌患者生育力保护的当前趋势。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-12-07 eCollection Date: 2024-01-01 DOI: 10.4103/gmit.gmit_34_23

Chih-Ku Liu, Kuan-Gen Huang, Ming-Jer Chen, Chien-Hsing Lu, Sheau-Feng Hwang, Lou Sun, Shih-Tien Hsu

{"title":"The Current Trend of Fertility Preservation in Patients with Cervical Cancer.","authors":"Chih-Ku Liu, Kuan-Gen Huang, Ming-Jer Chen, Chien-Hsing Lu, Sheau-Feng Hwang, Lou Sun, Shih-Tien Hsu","doi":"10.4103/gmit.gmit_34_23","DOIUrl":"10.4103/gmit.gmit_34_23","url":null,"abstract":"Although the incidence of most cancers increases with age, a considerable number of patients receive a diagnosis of cancer during their reproductive years. Young women wishing to get pregnant after cancer treatment should be provided consultation for fertility preservation and possible options. In patients with cervical cancer, hysterectomy is often inevitable because the uterus is located too close to the cervix. For young patients with cervical cancer who desire to get pregnant and whose lesion is confined to the cervix, sparing the uterus and, partially, the cervix should be prioritized as much as possible, while simultaneously ensuring favorable oncologic outcomes. In this review, we explore how to choose an adequate fertility-preserving procedure to achieve a balance between favorable oncologic outcomes and fertility and management during pregnancy after a radical trachelectomy in women with early-stage cervical cancer. For patients who require hysterectomy or radiation, evaluation of the ovarian condition and laparoscopic ovarian transposition followed by the use of artificial reproduction techniques and pregnancy by surrogacy should be discussed as options to achieve a successful pregnancy.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 1","pages":"4-9"},"PeriodicalIF":1.2,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10936714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does Local Infiltration of Anesthesia Reduce Port-site Pain in Gynecological Laparoscopic Surgeries? A Pilot Study. 局部浸润麻醉是否能减轻妇科腹腔镜手术的手术孔疼痛？一项试点研究。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-12-07 eCollection Date: 2024-04-01 DOI: 10.4103/gmit.gmit_77_22

Roopa Malik, Renu Verma

{"title":"Does Local Infiltration of Anesthesia Reduce Port-site Pain in Gynecological Laparoscopic Surgeries? A Pilot Study.","authors":"Roopa Malik, Renu Verma","doi":"10.4103/gmit.gmit_77_22","DOIUrl":"10.4103/gmit.gmit_77_22","url":null,"abstract":"Objectives: The objectives of this study were to evaluate the visual analog scale (VAS) score in patients receiving port-site bupivacaine infiltration in gynecological laparoscopic surgeries and to compare it with those receiving placebo and to evaluate the additional analgesic requirement in the first 24 h after surgery.Materials and methods: A prospective interventional study was conducted on 60 women scheduled for benign gynecological laparoscopic surgeries. Patients were randomized into two groups using an alternative sequential method of allocation. Approval from the Institute's Ethics Committee was sought. Informed written consent was taken from all the patients. All laparoscopic surgeries were performed under general anesthesia. Double-blinding was done. A VAS with a 10 cm vertical score ranging from \"no pain\" to \"worst possible pain\" was used to assess the postoperative pain when the patient awakened in the operating room (2 h after surgery), then after 6 and 24 h. The primary outcome measured was pain perception by the patient (as VAS scores), and the secondary outcome was the need for additional analgesia.Results: Comparison of both groups with the VAS score shows P > 0.001, i.e., nonsignificant in all the groups. Additional analgesics were required in 56% of the patients in the intervention group and 60% of the patients in the control group; however, 44% and 40% of the patients from the intervention and control groups, respectively, do not require any additional analgesic in the postoperative period.Conclusion: The local infiltration of bupivacaine does not significantly reduce the port-site postoperative pain in gynecological laparoscopic surgeries.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 2","pages":"101-104"},"PeriodicalIF":1.4,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11192289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141444114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Prophylactic Laparoscopic Surgery for Benign Adnexal Mass during Pregnancy 预防性腹腔镜手术治疗妊娠期良性附件肿块的效果

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-10-31 DOI: 10.4103/gmit.gmit_141_22

Zaw Htet Naing, Rie Ozaki, Mari Kitade, Keisuke Murakami, Yu Kawasaki, Atsuo Itakura

{"title":"Effectiveness of Prophylactic Laparoscopic Surgery for Benign Adnexal Mass during Pregnancy","authors":"Zaw Htet Naing, Rie Ozaki, Mari Kitade, Keisuke Murakami, Yu Kawasaki, Atsuo Itakura","doi":"10.4103/gmit.gmit_141_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_141_22","url":null,"abstract":"Abstract Objectives: This study aimed to evaluate the effectiveness of prophylactic laparoscopic surgery for avoiding adnexal torsion in pregnant women with benign adnexal masses. Materials and Methods: This report contains two analyses, each for a different group of patients. Analysis 1: Surgical and pregnancy outcomes were examined among the 126 cases who underwent laparoscopic assisted cystectomy for adnexal masses during pregnancy in our hospital between January 2001 and December 2020. Analysis 2: The incidence of adnexal torsion during pregnancy was evaluated among the cases with adnexal masses ≥5 cm who opted for conservative follow-up in our hospital between January 2011 and December 2020. Results: In analysis 1, the most common pathological diagnosis was a mature cystic teratoma (76.2%). The mean gestational age at surgery was 13.1 ± 1.3 weeks. No cases were converted to laparotomy and oophorectomy. Regarding delivery outcomes, 97.4% of cases went on to have full-term deliveries. In Analysis 2, the incidence of adnexal mass ≥5 cm that did not resolve spontaneously during pregnancy was 89 cases (0.8%). The frequency of malignancy was 3 cases (0.03%). In 28 cases who opted for conservative treatment, 5 (17.9%) underwent emergency surgery for adnexal torsion. Conclusion: Prophylactic surgery for benign adnexal masses during pregnancy can be performed laparoscopically and preserved ovarian functions. In pregnant women with adnexal masses that do not resolve spontaneously, planning laparoscopic surgery is considered beneficial for complications, such as adnexal torsion.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"3 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135869249","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 Review of Laparoscopic Para-aortic Lymphadenectomy for Early-stage Endometrial Cancer 腹腔镜腹主动脉旁淋巴结切除术治疗早期子宫内膜癌的研究进展

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-10-31 DOI: 10.4103/gmit.gmit_25_23

Kazuaki Imai, Junko Hirooka-Nakama, Yuichiro Hotta, Hiroyuki Shigeta

{"title":"A Review of Laparoscopic Para-aortic Lymphadenectomy for Early-stage Endometrial Cancer","authors":"Kazuaki Imai, Junko Hirooka-Nakama, Yuichiro Hotta, Hiroyuki Shigeta","doi":"10.4103/gmit.gmit_25_23","DOIUrl":"https://doi.org/10.4103/gmit.gmit_25_23","url":null,"abstract":"Abstract The importance of lymphadenectomy, including para-aortic nodes, for the accurate staging of endometrial cancer, is well established. Although the therapeutic role of lymph node resection in endometrial cancer is still under debate, some studies support its usefulness for survival benefit. To predict the necessity of lymphadenectomy, several preoperative scoring systems have been proposed as being effective. For endometrial cancer, there is a trend towards minimally invasive surgery, including para-aortic lymphadenectomy. For para-aortic lymphadenectomy, there are two different approaches: the extraperitoneal approach and the transperitoneal approach. The extraperitoneal approach has advantages over the transperitoneal approach in terms of better access to the left aortic nodes, no interference of the bowel, and possibly better options for obese or elderly patients. However, the extraperitoneal approach may have a longer learning curve than the transperitoneal approach. Robot-assisted extraperitoneal para-aortic lymphadenectomy is feasible and safe and may be suitable for patients irrespective of their baseline characteristics.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135871497","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

High-intensity Focused Ultrasound is a Better Choice for Women with Fertility Desire 高强度聚焦超声是有生育欲望的女性更好的选择

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-10-31 DOI: 10.4103/gmit.gmit_23_23

Ying Hu, Xiaohong Song, Linjun Xu, Zhenfeng Zhou

{"title":"High-intensity Focused Ultrasound is a Better Choice for Women with Fertility Desire","authors":"Ying Hu, Xiaohong Song, Linjun Xu, Zhenfeng Zhou","doi":"10.4103/gmit.gmit_23_23","DOIUrl":"https://doi.org/10.4103/gmit.gmit_23_23","url":null,"abstract":"Abstract High-intensity focused ultrasound (HIFU) is commonly used to treat uterine fibroids and adenomyosis, but there is no evidence using metadata to compare fertility outcomes between conventional laparoscopic procedures and HIFU. The purpose of this study analysis is that evidence-based fertility outcomes may provide better treatment options for clinicians and patients considering fertility. The literature on fertility data for HIFU surgery versus laparoscopic myomectomy was searched in seven English language databases from January 1, 2010, to November 23, 2022. A total of 1375 articles were received in the literature, 14 of which were selected. We found that women who underwent HIFU surgery had higher rates of spontaneous pregnancy, higher rates of spontaneous delivery, and higher rates of full-term delivery but may have higher rates of miscarriage or postpartum complications than women who underwent laparoscopic myomectomy. Looking forward to future studies, it is hoped that the literature will examine endometrial differences in women who undergo HIFU and laparoscopic myomectomy to demonstrate the ability of endometrial repair. The location of fibroids in the sample should also be counted to allow for attribution statistics on the cause of miscarriage.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"24 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135872613","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

Uterine Adenomatoid Tumor: A Great Imitator of Leiomyoma under Laparoscopy. 子宫腺瘤样肿瘤:腹腔镜下平滑肌瘤的巨大模仿者

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-09-07 eCollection Date: 2023-10-01 DOI: 10.4103/gmit.gmit_70_23

Shin-Yi Chen, Chi-Ju Yeh, Angel Hsin-Yu Pai, Kit-Sum Mak, Hsin-Hong Kuo, Chih-Feng Yen

引用次数: 0

Four-step Technique on Ureteral Safety in Total Laparoscopic Hysterectomy. 腹腔镜全子宫切除术中输尿管安全的四步技术

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-09-07 eCollection Date: 2023-10-01 DOI: 10.4103/gmit.gmit_46_23

Kenro Chikazawa

引用次数: 0