Clinical analysis of unexpected uterine sarcoma during laparoscopic surgeries for uterine myoma
LIU Fu-jun
LIANG Hai-yan
LIANG Jing
FENG Ding-qing
YAN Ke-qin
CHEN Qing-yun
LING Bin
Abstract：Objective To analyze the occurrence of uterus morcellation applied to unexpected uterine sarcoma during laparoscopic surgeries for uterine myoma and its influence on prognosis,and to prevent its occurrence.Methods Retrospective analysis was made in 2072 patients with uterine myoma in China-Japan Friendship Hospital treated from January 2011 to December 2016,who accepted myomectomy or subtotal hysterectomy.These patients were divided into laparoscopy group(1944)and laparotomy group(128).Results Totally 1944 patients accepted morcellation during the laparoscopic procedure,and 5 of them were definitely diagnosed with uterine sarcoma.The occurrence of laparoscopic morcellation applied to unexpected uterine sarcoma was 0.3％ during laparoscopic surgeries.Two of 128 patients were definitely diagnosed with uterine sarcoma during the laporotomic procedure.There was no significant difference in the occurrence of unexpected uterine sarcoma between the laparoscopic procedure and laporotomic procedure (P ＞ 0.05).The 7 patients were followed up for 2 to 45 months and they all survived.Three patients who accepted laparoscopic procedure,whereas no paitents who accepted laporotomic procedure had relapse.Conclusion The use of morcellation during the procedures may lead to a worse prognosis,so we should prevent the use of electrical morcellation during the uterine sarcoma surgeries.
Keywords：leiomyomalaparoscopemorcellationuterine sarcoma
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 195-198 )