[Feasibility study of laparoscopic complicate myomectomy: analysis of 67 cases].

OBJECTIVE

To investigate the feasibility of complicate myomectomy.

METHODS

Six-seven patients with complicated uterine myomas undergoing laparoscopic myomectomy were retrospectively analyzed. The myomectomy was done using ureteral infravision imaging system or/and with self-made myoma segregate-stick. Among the total, there are 29 cases of multiple myomas (the number of myomas > or = 5) and 23 cases of single myoma (the diameter of myoma > or = 7cm, including 19 cases of intramural myoma, 4 cases of subserous myoma), 6 cases of myoma of broad ligament of uterus and 9 cases of cervical myoma.

RESULTS

All cases were performed successfully laparoscopically. No intra-operative laparotomy or complications occurred. The average operating time and blood loss were (114 +/- 32) min and (114 +/- 78) ml respectively. The average time of hospital stay was 5.1 d. The average operating time and blood loss in the group (including multiple myoma group, intramural myoma group and cervical myoma) were significantly exceeded the other groups (including myoma of broad ligament of uterus group and subserous myoma group).

CONCLUSIONS

Laparoscopic complicate myomectomy can be performed and the operation indication is enlarged using Ureteral Infravision Imaging System. Advancement in surgical instruments and expert operating skills are the key to operation success.