Matoba Yusuke, Kisu Iori, Banno Kouji, Aoki Daisuke
Department of Obstetrics and Gynecology, Keio University School of Medicine 35 Shinanomachi, Shinjku-Ku, Tokyo 160-8582, Japan.
J Clin Med. 2021 Jan 18;10(2):349. doi: 10.3390/jcm10020349.
The surgical approach and choice of drainage veins for uterus transplantation living-donor surgery have been investigated to reduce invasiveness.
A thorough search of the PubMed database was conducted. The search was not limited by language or date of publication. The data were collected on 13 October 2020. Two reviewers independently assessed each article and determined eligibility for inclusion in the review article. Inclusion criteria were English peer-reviewed articles reporting surgical information or postoperative course, articles regarding animal research on UTx, UTx on deceased donors, or not original articles.
Of the 51 operations within 26 articles reviewed, the mean operative time was shortest in the laparoscopic approach, and longest in the robot-assisted approach. The mean blood loss was less in the laparoscopic and robot-assisted approaches than in the open approach. In cases where the uterine veins were not preserved, the mean operative time was shortened by each approach and the mean blood loss decreased with the laparoscopic and robot-assisted approaches.
These procedures may contribute to less invasive living-donor surgery.
为降低侵入性，已对活体供体子宫移植手术的手术入路和引流静脉的选择进行了研究。
对PubMed数据库进行了全面检索。检索不受语言或出版日期限制。数据于2020年10月13日收集。两名审阅者独立评估每篇文章，并确定其是否符合纳入综述文章的条件。纳入标准为报告手术信息或术后病程的英文同行评审文章、关于子宫移植动物研究的文章、尸体供体子宫移植的文章，或非原创文章。
在26篇综述文章中的51例手术中，腹腔镜手术入路的平均手术时间最短，机器人辅助手术入路的平均手术时间最长。腹腔镜和机器人辅助手术入路的平均失血量少于开放手术入路。在未保留子宫静脉的病例中，每种手术入路的平均手术时间均缩短，腹腔镜和机器人辅助手术入路的平均失血量减少。
这些手术方法可能有助于减少活体供体手术的侵入性。
