Ishidera Yumi, Furugori Megumi, Hirata Go, Wakabayashi Reina, Shigeta Hiroyuki, Yoshida Hiroshi
Department of Obstetrics and Gynecology, Yokohama Municipal Citizen's Hospital, Yokohama, Japan.
Gynecol Minim Invasive Ther. 2021 Jan 30;10(1):61-64. doi: 10.4103/GMIT.GMIT_104_19. eCollection 2021 Jan-Mar.
Hysterectomy for large uterine anterior cervical myoma is a challenging surgical procedure. We summarize our experience in the management of large uterine anterior cervical myoma. Three patients underwent hysterectomy for uterine anterior cervical myoma with similar sizes and different positions treated by laparoscopic surgery. Total laparoscopic hysterectomy (TLH) for cervical myoma is possible by performing ureterolysis and adopting retrograde hysterectomy. Because the position of myoma is important to determine the difficulty of TLH, we propose to measure the axis between the most caudal point of the myoma and external cervical os and pubococcygeal line as a possible useful method in objectively predicting the difficulty of TLH for large anterior cervical myoma.
对于大型子宫颈前肌瘤行子宫切除术是一项具有挑战性的外科手术。我们总结了我们在大型子宫颈前肌瘤治疗方面的经验。三名患者因子宫颈前肌瘤接受了腹腔镜手术治疗，肌瘤大小相似但位置不同。通过输尿管松解术和采用逆行子宫切除术，腹腔镜全子宫切除术（TLH）治疗宫颈肌瘤是可行的。由于肌瘤的位置对于确定TLH的难度很重要，我们建议测量肌瘤最尾端点与宫颈外口和耻骨尾骨线之间的轴线，作为客观预测大型宫颈前肌瘤TLH难度的一种可能有用的方法。
