KUMAKIRI Jiyun
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor
Article types Case report
Language English
Peer review Peer reviewed
Title An advanced flexible laparoscope with wide optic angle for observing diaphragmatic lesions associated with catamenial pneumothorax.
Journal Formal name：Fertility and sterility
Abbreviation：Fertil Steril
ISSN code：15565653/00150282
Domestic / ForeginForegin
Volume, Issue, Page 90(4),pp.1200.e11-4
Author and coauthor Kumakiri Jun†*, Takeuchi Hiroyuki, Miyamoto Hideaki, Shimanuki Hiroto, Kobayashi Yuko, Kuroda Keiji
Authorship Lead author,Corresponding author
Publication date 2008/10
Summary 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