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	原著
言語種別	英語
査読の有無	査読あり
表題	Feasibility of laparoscopically assisted extracorporeal cystectomy via single suprapubic incision using an adjustable-view laparoscope to treat large benign ovarian cysts: comparison with conventional procedure.
掲載誌名	正式名：European journal of obstetrics, gynecology, and reproductive biology 略　 称：Eur J Obstet Gynecol Reprod Biol ISSNコード：18727654/03012115
掲載区分	国外
巻・号・頁	168(1),pp.64-7
著者・共著者	Kumakiri Jun†*, Kikuchi Iwaho, Ozaki Rie, Jinushi Makoto, Kono Ayako, Takeda Satoru
担当区分	筆頭著者,責任著者
発行年月	2013/05
概要	OBJECTIVE:To demonstrate the feasibility of minimally invasive surgery using a novel optical device to treat large benign ovarian cysts and to compare the safety of the procedure with that of conventional laparoscopically assisted multiport extracorporeal cystectomy.STUDY DESIGN:Twenty-one patients with large benign ovarian cysts underwent laparoscopically assisted extracorporeal ovarian cystectomy via a single suprapubic incision using a novel 10-mm rigid laparoscope with an adjustable direction of view and a multiport device, between October 2010 and July 2012. The surgical outcomes were retrospectively compared between these patients (Group A) and 32 patients who underwent the conventional 3-port laparoscopically assisted extracorporeal procedure between January 2009 and September 2010 (Group B). Data were statistically analyzed using the Mann-Whitney U-test or Fisher's exact test.RESULTS:None of Group A required conversion to conventional multiport laparoscopy. The total duration of surgery, elapsed time between skin incision and the start of pneumoperitoneum, and time required for intra- and extra-corporeal manipulations did not significantly differ between the groups. The time required for skin closure, however, was significantly decreased in Group A compared with Group B (13.0 ± 3.5 vs. 20.2 ± 4.8 min, P=0.005). The volume of blood loss and postoperative blood findings were similar to those associated with the conventional procedure. Postoperative visual analog pain scales at 3h were significantly lower in Group A than in Group B (3.7 ± 2.6 vs. 4.8 ± 2.0, P=0.04). Postoperative complications did not arise after either procedure.CONCLUSION:Laparoscopically assisted extracorporeal cystectomy via a single suprapubic incision is a feasible and safe alternative to conventional multiport cystectomy for treating large benign ovarian cysts.
DOI	10.1016/j.ejogrb.2012.12.023
PMID	23347608