Department of Obstetrics and Gynecology, Sirai Hospital, 09013 Carbonia, Italy.
Arch Gynecol Obstet. 2012 Nov;286(5):1209-14. doi: 10.1007/s00404-012-2441-0. Epub 2012 Jul 3.
Laparoscopic myomectomy during pregnancy is indicated when symptoms related to uterine myomas persist despite pharmacologic therapy; however, currently there is very little information concerning its safety.
We report three cases of antepartum laparoscopic myomectomy performed to manage complicated myomas requiring surgical intervention.
In particular, we report for the first time in literature the laparoscopic removal of two myomas in a patient during a single surgery performed in the 19th week of pregnancy followed by additional multiple myomectomy at the time of the cesarean section. All surgeries were without complication.
Our experience suggests that laparoscopic myomectomy may be performed safely during pregnancy; even more studies are needed to establish the exact rate of adverse events.
当与子宫肌瘤相关的症状尽管经过药物治疗仍持续存在时，妊娠期间行腹腔镜子宫肌瘤剔除术是有指征的；然而，目前关于其安全性的信息非常有限。
我们报告了三例产前腹腔镜子宫肌瘤剔除术的病例，这些病例是由于需要手术干预的复杂子宫肌瘤而进行的。
特别是，我们首次在文献中报告了一例患者在妊娠 19 周时单次手术中腹腔镜切除两个子宫肌瘤，随后在剖宫产时再次进行多次子宫肌瘤剔除术。所有手术均无并发症。
我们的经验表明，妊娠期间行腹腔镜子宫肌瘤剔除术是安全的；需要更多的研究来确定不良事件的确切发生率。
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