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Japanese Journal of Gynecologic and Obstetric Endoscopy最新文献

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産後に発生した骨盤内腫瘍に対して腹腔鏡下手術を行い、良性多嚢胞性腹膜中皮腫と診断した１例 对产后发生的盆腔肿瘤进行腹腔镜手术，诊断为良性多囊性腹膜间皮瘤1例
Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_78
Fuyuka Igarashi, Tomohiro Uda, Keiko Yamaguchi, Genya Sato, Risa Ando, Ryutaro Yamamoto, Manami Sakurai
{"title":"産後に発生した骨盤内腫瘍に対して腹腔鏡下手術を行い、良性多嚢胞性腹膜中皮腫と診断した１例","authors":"Fuyuka Igarashi, Tomohiro Uda, Keiko Yamaguchi, Genya Sato, Risa Ando, Ryutaro Yamamoto, Manami Sakurai","doi":"10.5180/jsgoe.39.1_78","DOIUrl":"https://doi.org/10.5180/jsgoe.39.1_78","url":null,"abstract":"Benign multicystic mesothelioma of the peritoneum (BMMP) is an uncommon benign tumor that arises from the peritoneum in women of reproductive age. Associated risk factors include endometriosis, pelvic inflammatory disease, and previous abdominal surgery. However, etiopathogenesis is still unknown. The preoperative diagnosis of BMMP is challenging and is confirmed by pathology.","PeriodicalId":475319,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446354","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
千葉大学と連携施設に属する若手医師に対する、腹腔鏡手術手技修練方法に関する意識調査 针对隶属于千叶大学合作机构的年轻医生，关于腹腔镜手术手法修炼方法的意识调查
Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_14
Satoyo Otsuka, Hiroshi Ishikawa, Omoi Chiba, Eri Katayama, Rie Okuya, Yuji Habu, Ayumu Matsuoka, Hirokazu Usui, Kaori Koga
{"title":"千葉大学と連携施設に属する若手医師に対する、腹腔鏡手術手技修練方法に関する意識調査","authors":"Satoyo Otsuka, Hiroshi Ishikawa, Omoi Chiba, Eri Katayama, Rie Okuya, Yuji Habu, Ayumu Matsuoka, Hirokazu Usui, Kaori Koga","doi":"10.5180/jsgoe.39.1_14","DOIUrl":"https://doi.org/10.5180/jsgoe.39.1_14","url":null,"abstract":"Objective: Young gynecologists aim to acquire a certificate in laparoscopic surgery from the Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy (JSGOE). However, there are no adequate training programs to support the certificate acquisition in the Department of Gynecology at Chiba University and 11 associated facilities (abbreviated as our facilities). This study aimed to investigate the experience of young physicians with performing laparoscopic surgeries, including total laparoscopic hysterectomy (TLH), in our facilities and self-training methods.","PeriodicalId":475319,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446079","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
大量腹水を伴った進行卵巣癌・腹膜癌の診断的腹腔鏡下手術時における腹水濾過濃縮再静注法（CART）の有用性 腹腔镜下手术时腹水过滤浓缩再静注法(CART)对伴有大量腹水的晚期卵巢癌和腹膜癌的诊断有用
Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_21
Makiko Taniguchi, Jyunya Kamibayashi, Nagisa Higuchi, Hikaru Murakami, Hiroko Fukui, Yoshinori Takeda, Emiko Niiro, Fuminori Ito
{"title":"大量腹水を伴った進行卵巣癌・腹膜癌の診断的腹腔鏡下手術時における腹水濾過濃縮再静注法（CART）の有用性","authors":"Makiko Taniguchi, Jyunya Kamibayashi, Nagisa Higuchi, Hikaru Murakami, Hiroko Fukui, Yoshinori Takeda, Emiko Niiro, Fuminori Ito","doi":"10.5180/jsgoe.39.1_21","DOIUrl":"https://doi.org/10.5180/jsgoe.39.1_21","url":null,"abstract":"Objective: This study aimed to investigate the usefulness of intraoperative cell-free and concentrated ascites reinfusion therapy (CART) in patients undergoing diagnostic laparoscopic surgery of advanced ovarian or peritoneal cancer (AOPC) with massive ascites.","PeriodicalId":475319,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446093","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 pseudoaneurysm after hysteroscopic myomectomy led to hysterectomy due to massive hemorrhage 宫腔镜子宫肌瘤切除术后假性动脉瘤因大出血致子宫切除术1例
Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_116
Satoshi Kubota, Airi Kato, Hikari Unno, Haruka Muto, Tomoko Sumikura, Tadashi Iwamiya, Masahiko Takemura
{"title":"A case of pseudoaneurysm after hysteroscopic myomectomy led to hysterectomy due to massive hemorrhage","authors":"Satoshi Kubota, Airi Kato, Hikari Unno, Haruka Muto, Tomoko Sumikura, Tadashi Iwamiya, Masahiko Takemura","doi":"10.5180/jsgoe.39.1_116","DOIUrl":"https://doi.org/10.5180/jsgoe.39.1_116","url":null,"abstract":"Uterine pseudoaneurysm is a potentially fatal complication that can occur after non-traumatic delivery/abortion and surgical procedures such as cesarean section and myomectomy. We encountered a case of pseudoaneurysm after hysteroscopic myomectomy, necessitating hysterectomy due to massive hemorrhage. A 40-year-old woman was referred to our institution with hypermenorrhea caused by submucous leiomyoma. The leiomyoma was resected with hysteroscopic surgery, which revealed a FIGO type 3 leiomyoma. A transvaginal ultrasonography at the routine follow-up visit after 14 days revealed a hypoechoic structure with a diameter of 2 cm in the uterine cavity. Color Doppler ultrasonography revealed pulsatile flow within the hypoechoic area. Thus, a pseudoaneurysm was suspected. She presented with excessive vaginal bleeding the same night. Contrast-enhanced computed tomography confirmed the rupture of the pseudoaneurysm. She was treated with hysterectomy.","PeriodicalId":475319,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"156 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446349","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 ovarian squamous cell carcinoma in situ arising in mature teratoma 卵巢鳞状细胞癌发生于成熟畸胎瘤1例
Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_47
Mari Ando, Shuji Takemoto, Mahomi Kikuchi, Naohiko Saiki, Ai Takamatsu, Kanako Sendo, Hironori Asada
{"title":"A case of ovarian squamous cell carcinoma in situ arising in mature teratoma","authors":"Mari Ando, Shuji Takemoto, Mahomi Kikuchi, Naohiko Saiki, Ai Takamatsu, Kanako Sendo, Hironori Asada","doi":"10.5180/jsgoe.39.1_47","DOIUrl":"https://doi.org/10.5180/jsgoe.39.1_47","url":null,"abstract":"Background: Mature teratoma (MT) is the most common ovarian tumor, accounting for 10-20% of ovarian tumors. It is reported that 1-2% transform to malignancy, most transforming to squamous cell carcinoma. Squamous cell carcinoma found together with noninvasive squamous cell carcinoma in situ (CIS) is rarely reported, but it is even rarer that we find CIS alone, and standard treatment is not established. In this case, MT of the left ovary was diagnosed and laparoscopic cystectomy performed. Histological examination revealed CIS alone arising from MT.","PeriodicalId":475319,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446087","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
Association of endometrioid carcinoma with ichthyosis uteri: a case report 子宫内膜样癌与子宫鱼鳞病的关系:1例报告
Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_111
Kei Ameda, Namiko Minobe, Asuka Sakiyama, Sayaka Ohtani, Mizuho Karube, Jyunichirou Kibayashi
{"title":"Association of endometrioid carcinoma with ichthyosis uteri: a case report","authors":"Kei Ameda, Namiko Minobe, Asuka Sakiyama, Sayaka Ohtani, Mizuho Karube, Jyunichirou Kibayashi","doi":"10.5180/jsgoe.39.1_111","DOIUrl":"https://doi.org/10.5180/jsgoe.39.1_111","url":null,"abstract":"Ichthyosis uteri is a rare condition where an extensive portion of the surface endometrium is replaced by stratified squamous epithelium. Although ichthyosis uteri is considered a benign disease, it has recently been associated with malignant tumors. Here we report a case of ichthyosis uteri complicated by endometrioid carcinoma.","PeriodicalId":475319,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446080","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 total laparoscopic hysterectomy using Tsukahara uterine forceps without vaginal pipe or manipulator for a virgin patient with multiple uterine myomas 多子宫肌瘤处女行全腹腔镜子宫切除术1例
Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_67
Hiroaki Soyama, Satomi Okuguchi, Takayoshi Yoshida, Fumiaki Taniguchi
{"title":"A case of total laparoscopic hysterectomy using Tsukahara uterine forceps without vaginal pipe or manipulator for a virgin patient with multiple uterine myomas","authors":"Hiroaki Soyama, Satomi Okuguchi, Takayoshi Yoshida, Fumiaki Taniguchi","doi":"10.5180/jsgoe.39.1_67","DOIUrl":"https://doi.org/10.5180/jsgoe.39.1_67","url":null,"abstract":"We present a case of total laparoscopic hysterectomy (TLH) for a virgin patient with multiple large uterine myomas. Thirty-five-year-old primiparous patient was diagnosed with multiple large uterine myomas which size was maximum of 120 mm diameter by magnetic resonance imaging. The patient underwent TLH. We didn’t use the uterine manipulator to avoid the hymen and vaginal laceration, therefore, we only use Tsukahara uterine forceps instead of using uterine manipulator. Firstly, the myomectomy was performed during TLH to obtain good visibility of operative field and enough space of smooth manipulation of the instruments. Then, cervical amputation was conducted after treatment of uterine upper ligaments and uterine vessels, because large uterus could not be handled enough by Tsukahara uterine forceps. After cervical amputation, bilateral ureters were easily detected, and residual uterine cervix was removed safely. By using Tsukahara uterine forceps, and performing myomectomy and cervical amputation during TLH, we completed TLH in virgin case with multiple large uterine myomas without any complications.","PeriodicalId":475319,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446356","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
臍ポートから腹腔内観察を追加するHybrid-vNOTES 从肚脐端口添加腹腔观察Hybrid-vNOTES
Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_28
Tomonori Hada, Yurina Shimomura, Taihei Yamada, Shinji Yamada, Sayaka Masuda, Mitsuru Toeda, Satoki Semba, Masaaki Andou
{"title":"臍ポートから腹腔内観察を追加するHybrid-vNOTES","authors":"Tomonori Hada, Yurina Shimomura, Taihei Yamada, Shinji Yamada, Sayaka Masuda, Mitsuru Toeda, Satoki Semba, Masaaki Andou","doi":"10.5180/jsgoe.39.1_28","DOIUrl":"https://doi.org/10.5180/jsgoe.39.1_28","url":null,"abstract":"vNOTES（Transvaginal natural orifice transluminal endoscopic surgery）は経腟内視鏡手術である。一般的なvNOTES子宮全摘（Vaginally Assisted NOTES Hysterectomy：VANH）は、１）腟式に腟切開と膀胱子宮窩腹膜・ダグラス窩腹膜解放、２）経腟デバイスの装着、３）鏡視下手術（子宮傍組織処理・上部靭帯処理）、４）腟式に腫瘍回収・腹膜縫合・腟壁縫合の順で行われる。腟式手術に習熟していない医師にとって膀胱子宮窩腹膜・ダグラス窩腹膜解放は膀胱・直腸損傷のリスクも伴い容易ではなく、経腟視野で行う鏡視下手術は解剖学的位置関係の把握に苦労する。今回、経臍視野にて腹腔内を観察しながらVANHを行うHybrid-VANH（以下H-VANH）を動画で紹介する。最初に臍から５mmポートを挿入後、気腹し、骨盤高位20度にする。経腟的に子宮を操作しながら骨盤内を観察し、VANHが可能であることを確認する。VANH同様、腟式に腟円蓋を全周切開し、同時に経臍視野を用いると腹膜越しに光を透見でき、膀胱・直腸損傷を回避した腹膜解放がしやすくなる。経腟視野では卵巣・卵管・円靭帯・卵巣提索の位置関係を把握することは、その見え方に慣れるまで難しいこともある。H-VANHでは見慣れた経臍視野での解剖確認を追加しながら経腟的に手術工程が進められる。また、臍からの排煙により常時良好な視野も確保できる。腟縫合終了後、臍ポートからの再気腹で腟断端縫合部の止血確認も可能である。H-VANHでは、臍の創部・臍ポート（コスト）・カメラシステム・人員と追加しなければいけないものもあるデメリットもあるが、腟式手術に不慣れな術者がVANHを安全に導入するにはH-VANHから行うのも一法と思われる。本報告にあたり患者からの同意を得た。","PeriodicalId":475319,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"270 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446076","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 a hard calcified myoma that was morcellated using orthopedic instruments during total laparoscopic hysterectomy 硬钙化肌瘤在全腹腔镜子宫切除术中使用矫形器械粉碎
Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_52
Hiroaki Soyama, Satomi Okuguchi, Takayoshi Yoshida, Fumiaki Taniguchi
{"title":"A case of a hard calcified myoma that was morcellated using orthopedic instruments during total laparoscopic hysterectomy","authors":"Hiroaki Soyama, Satomi Okuguchi, Takayoshi Yoshida, Fumiaki Taniguchi","doi":"10.5180/jsgoe.39.1_52","DOIUrl":"https://doi.org/10.5180/jsgoe.39.1_52","url":null,"abstract":"Calcification of uterine myoma is not rare. However, due to the hardness of calcified myomas, sometimes it is difficult to extract the myoma from the pelvic cavity during a total laparoscopic hysterectomy (TLH). We present a case of a patient with a large uterine calcified myoma who underwent TLH. A 52-year-old virgin woman was diagnosed with multiple large uterine myomas with a maximal size of 120 mm by magnetic resonance imaging. An abdominal X-ray examination identified one of the myomas as calcified. The patient underwent TLH. Even though we tried to extract the uterus and myomas by in-bag morcellation, the calcified myoma was not morcellated using a power morcellator. Then, after adding a small 40 mm incision to the main port site, orthopedic instruments were used to morcellate the calcified myoma safely. Uterine weight was 1163 g, operative time was 387 minutes and intraoperative blood loss was 325 ml.","PeriodicalId":475319,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446106","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
長柄メスによる腹腔内細切とクリスクロス法 长柄手术刀腹腔内细切和克里斯十字法
Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_29
Tomonori Hada, Yurina Shimomura, Taihei Yamada, Sayaka Masuda, Mitsuru Toeda, Satoki Semba, Kyoko Hamasaki, Masaaki Andou
{"title":"長柄メスによる腹腔内細切とクリスクロス法","authors":"Tomonori Hada, Yurina Shimomura, Taihei Yamada, Sayaka Masuda, Mitsuru Toeda, Satoki Semba, Kyoko Hamasaki, Masaaki Andou","doi":"10.5180/jsgoe.39.1_29","DOIUrl":"https://doi.org/10.5180/jsgoe.39.1_29","url":null,"abstract":"当院では腹腔鏡下子宮筋腫核出術において核出筋腫を経腟的に回収している。核出筋腫が大きい場合は経腟回収口から切開を加えるか、腹腔内で事前に筋腫を細切してから回収する方法をとっている。腹腔内での細切には長柄メスを使用している。長柄メスは変形ダイヤモンド配置の正中ポートを抜去し、23 cm長柄メスをポート創部から直接挿入する。メスの柄まで入れておくことが安定したメスさばきをする重要なポイントになる。直腸や仙骨前面を傷つけぬよう、可能な限り膀胱子宮窩でメスは背側から腹側への方向にのみ切開する（アップストロークテクニック）。左右のポートからクロー鉗子で腫瘍を把持牽引し、カメラは常にメス先を見せるように注意する。","PeriodicalId":475319,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446358","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
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