クマキリ　ジユン   熊切　順    所属   医学部 医学科（東京女子医科大学病院）    職種   教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	An advanced flexible laparoscope with wide optic angle for observing diaphragmatic lesions associated with catamenial pneumothorax.
掲載誌名	正式名：Fertility and sterility 略　 称：Fertil Steril ISSNコード：15565653/00150282
掲載区分	国外
巻・号・頁	90(4),pp.1200.e11-4
著者・共著者	Kumakiri Jun†*, Takeuchi Hiroyuki, Miyamoto Hideaki, Shimanuki Hiroto, Kobayashi Yuko, Kuroda Keiji
担当区分	筆頭著者,責任著者
発行年月	2008/10
概要	OBJECTIVE:To explore diaphragmatic lesions that are potentially associated with catamenial pneumothorax by using an advanced flexible laparoscope with wide optic angle.DESIGN:Case report.SETTING:University hospital.PATIENT(S):A 30-year-old woman who was scheduled for thoracoscopic surgery because of recurrent right-sided catamenial pneumothorax.INTERVENTION(S):The peritoneal surface of the diaphragm was explored with an advanced flexible laparoscope that was equipped with a charge-coupled device on the tip, concurrently with thoracoscopic surgery.MAIN OUTCOME MEASURE(S):Lesions associated with endometriosis on the peritoneal surface of the posterior diaphragm abutting the posterior abdominal wall and liver.RESULT(S):When the flexible laparoscope was inserted via an umbilical trocar and the peritoneal surface of the right-sided diaphragm was explored, guided by illumination from the thoracoscope, scattered specific lattice lesions and fenestrations were identified in the central tendon of the posterior diaphragm, a region that cannot be visualized with the conventional rigid laparoscope.CONCLUSION(S):By using the flexible laparoscope, endometriotic lesions potentially related to catamenial pneumothorax were identified on the posterior diaphragm.
DOI	10.1016/j.fertnstert.2007.09.023
PMID	18155702