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- 永昜 洋子
- Dept. of Obstetrics and Gynecology Osaka Medical College
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- 奥田 喜代司
- Dept. of Obstetrics and Gynecology Osaka Medical College Dept of Obstetrics and Gynecology Hokusetsu General Hospital
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- 恒藤 啓示
- Dept. of Obstetrics and Gynecology Osaka Medical College
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- 中村 嘉宏
- Dept of Obstetrics and Gynecology Hokusetsu General Hospital
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- 吉田 陽子
- Dept. of Obstetrics and Gynecology Osaka Medical College
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- 林 篤史
- Dept. of Obstetrics and Gynecology Osaka Medical College
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- 林 美佳
- Dept. of Obstetrics and Gynecology Osaka Medical College
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- 山下 能毅
- Dept. of Obstetrics and Gynecology Osaka Medical College
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- 寺井 義人
- Dept. of Obstetrics and Gynecology Osaka Medical College
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- 大道 正英
- Dept. of Obstetrics and Gynecology Osaka Medical College
書誌事項
- タイトル別名
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- Mini-Laparoscopic Surgery for Patients with Endometriosis
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Introduction: In an attempt to reduce pain and improve cosmetic outcome in laparoscopic surgery, there has been a recent drive to reduce port sizes (mini-laparoscopic surgery: MLS) or port number (single-site laparoscopic surgery). We evaluated the safety and efficacy of MLS in the patients with endometriosis and compared its outcome with that of the conventional laparoscopic surgery (CLS).<BR>Methods: MLS was conducted with one 5-mm port for a 5-mm laparoscope as well as one 5-mm port and two 2.3-mm ports for the MiniLap Grasper. Conventional laparoscopic surgery (CLS) employs one 12-mm port for a 10-mm laparoscope and three 5-mm ports. A total of 24 patients with endometriomas underwent MLS (13) or CLS (11). We compared patient characteristics, operative findings, complications, postoperative pain medicine requirements, and serum CRP levels.<BR>Results: The total r-ASRM (Revised American Society for Reproductive Medicine classification of endometriosis) scores for patients with endometriomas were not significantly different between the MLS (56.5) and the CLS (52.9) groups. Two of 13 patients were converted from MLS to CLS because of severe tubal adhesions. However, no major postoperative complications were encountered. Median operating times were similar between MLS (123 minutes) and CLS (107 minutes). The mean frequency of analgesic administration and serum CRP levels were significantly lower following MLS than following CLS (Mean frequency 1.5±0.53 for MLS and 2.7±0.6, CRP 0.66±0.28 for MLS and 1.00±0.53 for CLS). Cosmetic outcomes were superior with MLS, compared to CLS.<BR>Conclusions: Compared to conventional laparoscopic surgery, the use of mini-laparoscopic techniques resulted in decreased incisional pain in the early postoperative period while improving cosmetic appearance.
収録刊行物
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- 日本産科婦人科内視鏡学会雑誌
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日本産科婦人科内視鏡学会雑誌 28 (2), 621-626, 2012
日本産科婦人科内視鏡学会
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詳細情報 詳細情報について
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- CRID
- 1390282680323056000
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- NII論文ID
- 130003374535
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- ISSN
- 18845746
- 18849938
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可