Open Access

Total laparoscopic hysterectomy for large uterine cervical myoma

  • Authors:
    • Kentaro Nakayama
    • Mayu Tsukao
    • Masako Ishikawa
    • Tomoka Ishibashi
    • Kohei Nakamura
    • Kaori Sanuki
    • Hitomi Yamashita
    • Ruriko Ono
    • Toshiko Minamoto
    • Satoru Kyo
  • View Affiliations

  • Published online on: April 10, 2017     https://doi.org/10.3892/mco.2017.1217
  • Pages:655-660
  • Copyright: © Nakayama et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Ureterolysis is a surgical method with a high level of difficulty, which may be necessary when performing total laparoscopic hysterectomy (TLH) for large cervical myoma, despite the benign nature of this tumor. The aim of the present study was to introduce techniques that are commonly applied in malignant tumor surgery in order to safely perform TLH for large cervical myoma. Between 2014 and 2016, TLH was performed at the Shimane University Hospital (Izumo, Japan) in 153 patients with benign tumors, including 25 cases with a large uterus (uterine weight ≥500 g). The surgical methods applied in 3 of these large uterine cervical myoma cases were investigated in detail, including techniques devised by our department. TLH was performed without enucleating myomectomy in all 3 cases; however, all 3 cases required ureterolysis, transection of the anterior layer of the vesicouterine ligament and isolation of the ureter. In conclusion, although radical laparoscopic hysterectomy is commonly performed for cervical cancer at our department, techniques used for malignant tumor surgery may prove useful for benign cases with a high level of difficulty.

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May 2017
Volume 6 Issue 5

Print ISSN: 2049-9450
Online ISSN:2049-9469

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Copy and paste a formatted citation
APA
Nakayama, K., Tsukao, M., Ishikawa, M., Ishibashi, T., Nakamura, K., Sanuki, K. ... Kyo, S. (2017). Total laparoscopic hysterectomy for large uterine cervical myoma. Molecular and Clinical Oncology, 6, 655-660. https://doi.org/10.3892/mco.2017.1217
MLA
Nakayama, K., Tsukao, M., Ishikawa, M., Ishibashi, T., Nakamura, K., Sanuki, K., Yamashita, H., Ono, R., Minamoto, T., Kyo, S."Total laparoscopic hysterectomy for large uterine cervical myoma". Molecular and Clinical Oncology 6.5 (2017): 655-660.
Chicago
Nakayama, K., Tsukao, M., Ishikawa, M., Ishibashi, T., Nakamura, K., Sanuki, K., Yamashita, H., Ono, R., Minamoto, T., Kyo, S."Total laparoscopic hysterectomy for large uterine cervical myoma". Molecular and Clinical Oncology 6, no. 5 (2017): 655-660. https://doi.org/10.3892/mco.2017.1217