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	Single-incision laparoscopic surgery using an articulating monopolar for juvenile cystic adenomyoma.
掲載誌名	正式名：Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy 略　 称：Minim Invasive Ther Allied Technol ISSNコード：13652931/13645706
掲載区分	国外
巻・号・頁	22(5),pp.312-5
著者・共著者	Kumakiri Jun†*, Kikuchi Iwaho, Sogawa Yuko, Jinushi Makoto, Aoki Yoichi, Kitade Mari, Takeda Satoru
担当区分	筆頭著者,責任著者
発行年月	2013/09
概要	We demonstrate the feasibility of single-incision laparoscopic surgery (SILS) by using a novel monopolar cautery and a technique based on conventional multiport laparoscopic surgery in a patient with Juvenile cystic adenomyoma (JCA). A 20-year-old woman with severe dysmenorrhea, and a 3-cm uterine lesion was diagnosed with JCA. 70 cm of absorbable string tied to the tumor parenchyma was used to extract the tumor. The ends of the strings were positioned extracorporeally and the intra-abdominal parts of the strings adjacent to the anchored tumor were grasped by a laparoscopic needle holder for clarifying the incision line surrounding the tumor. The lesion was completely excised using a single-use articulating hook with monopolar cautery, and the hysterotomy site was sutured using barbed string. No complications occurred intraoperatively, and dysmenorrhea had significantly improved three months after surgery. SILS for JCA is a feasible and minimally invasive surgery for women desiring esthetic benefit.
DOI	10.3109/13645706.2013.789060
PMID	23590394