Analysis and Literature Review of Laparoscopic Rotary Cutting is Mistakenly Used in 6 Cases of Uterine Sarcoma

WU Hua-tuo; MA Yan; LI Li

Abstract：Objective:To investigate the probability of mistaken use of the rotator in uterine sarcoma and the effect of peeling device on the prognosis of patients with uterine sarcoma. Methods:Refer to the patients who have been diagnosed as uterine fibroids and undergone hospitalized laparoscopic myomectomy in Xinjiang Medical University Cancer Hospital gynecology from January 2010 to December 2015, collect the patients whose postoperative pathology was uterine sarcoma. Rotary cutting device were used in these patients and its prognosis was followed up. Results: A total of 1886 patients have been diagnosed as uterine fibroids and undergone hospitalized laparoscopic myomectomy with rotary cutting device, including postoperative pathological diagnosis of uterine sarcoma patients in 6 cases. One patient underwent surgery and find pelvic and omental metastatic lesions;one patient dead after chemotherapy;one patient relapsed after six months and died two years later. The remaining three patients were followed up and did not relapse until now. Conclusions: The probability of uterine leiomyosarcoma misuse for uterine sarcoma is very small, about 0.31% (6/1886), uterine fibroids peeling device is still a feasible surgical instrument for uterine fibroids, but we should pay attention to the negative consequences of the rotary cutting device, and take appropriate measures to avoid it.