Laparoscopic cervical myomectomy: Five years of experience.

Lee, Soo Yoon; Lee, Hee Suk; Cho, Yeon Jean; Joo, Kwan Young; Kim, Joo Myung

doi:2012.55.7.493

Obstet Gynecol Sci > Volume 55(7); 2012 > Article

Original Article

Korean Journal of Obstetrics & Gynecology 2012;55(7):493-501.
DOI: https://doi.org/10.5468/KJOG.2012.55.7.493 Published online July 13, 2012.

Laparoscopic cervical myomectomy: Five years of experience.

Soo Yoon Lee, Hee Suk Lee, Yeon Jean Cho, Kwan Young Joo, Joo Myung Kim

¹Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea. dr66205@naver.com
²Department of Obstetrics and Gynecology, Dong-A University Medical Center, Dong-A University College of Medicine, Busan, Korea.

Abstract

OBJECTIVE
This retrospective case series evaluated the feasibility and safety of laparoscopic cervical myomectomy. METHODS: Sixty-five patients with cervical myoma who underwent laparoscopic cervical myomectomy were included in this study. RESULTS: The mean age of the patients was 39.2 +/- 6.0 years. The marriage rate was 67.7%, and the mean parity was 1.09. The most common symptoms in the patients were increased myoma size (41.5%) and menorrhagia (13.8%), while 20% of patients were asymptomatic. The average diameter of the myomas treated was 72.68 +/- 20.28 mm, and the mean number of myomas per patient was 1.41 +/- 0.88. Laparoscopic cervical myomectomy required a mean time of 63.25 +/- 20.34 minutes. The difference between preoperative and postoperative hemoglobin levels was 2.01 +/- 0.73 g/dL, and no patient required transfusion or conversion to laparotomy. CONCLUSION: Sixty-five procedures of laparoscopic cervical myomectomy were performed safely. Operation time and complications were minimal. With correct understanding of pelvic anatomy, laparoscopic cervical myomectomy can be carried out safely and easily, and represents a minimally invasive treatment choice for symptomatic cervical myoma.

Key Words: Laparoscopy, Cervical myoma, Laparoscopic cervical myomectomy