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	Oophorectomy for fertility preservation via reduced-port laparoscopic surgery.
掲載誌名	正式名：Surgical innovation 略　 称：Surg Innov ISSNコード：15533514/15533506
掲載区分	国外
巻・号・頁	20(3),pp.219-24
著者・共著者	Kikuchi Iwaho, Kagawa Noriko, Silber Sherman, Kuwayama Masashige, Takehara Yuji, Aono Fumihito, Kumakiri Jun, Kato Osamu, Takeda Satoru
発行年月	2013/06
概要	BACKGROUND:For fertility preservation of women patients scheduled to undergo chemotherapy or radiotherapy, unilateral oophorectomy was performed, and the ovary was cryopreserved.METHODS:Two-port surgery was conducted in 3 patients, and single-port surgery using a single-incision laparoscopic surgery port in 3. An 18-G Cathelin needle equipped with a syringe was directly inserted transabdominally to reach the small follicle on the ovarian surface; then, follicular fluid was recovered by aspiration through the syringe as with in vitro fertilization procedures, and immature oocytes were collected from the resulting culture medium under microscopy and cryopreserved. Vitrification of the ovarian tissue was performed using the cryotissue method.RESULTS:The operative time and estimated blood loss were 39.7 minutes (17-57) and 8.6 mL (2-20), and the numbers of ovarian cortical tissues and immature oocytes collected were 10.1 (5.5-15) and 16.3 (0-36), respectively.CONCLUSIONS:It is suggested that fertility preservation operations before chemotherapy or radiotherapy can be safely done using reduced-port surgery.
DOI	10.1177/1553350612449074
PMID	22696023