Fertility and sterility · 2022
Robotic-assisted laparoscopic and thoracoscopic approach: a challenging multidisciplinary minimally invasive surgery of intravascular leiomyomatosis with intracardiac extension.
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Jiang Shengli, Li Zhen, Ma Xin, Ma Xiaohui, Meng Yuanguang, Ye Mingxia, Zhang Lin, Zhang Peng, Zhang Nina, Zhang Yue, Wang Nan, Li Lian
Аннотация
OBJECTIVE: To show a case of severe intravascular leiomyomatosis with intracardiac extension treated by a multidisciplinary minimally invasive surgery.
DESIGN: Stepwise demonstration of the technique with a video.
SETTING: General Hospital.
PATIENT(S): A 40-year-old woman with palpitation and dyspnea.
INTERVENTION(S): The patient was diagnosed with intravascular leiomyomatosis by computed tomography scan. She underwent a successful single-stage minimally invasive surgery with complete excision.
MAIN OUTCOME MEASURE(S): The feasibility and safety of using this technique for intravascular leiomyomatosis with intracardiac extension.
RESULT(S): A combined thoracoabdominal surgery was successfully performed. During the procedure, cardiopulmonary bypass was maintained for 72 minutes. The patient soon recovered and was discharged.
CONCLUSION(S): Minimally invasive surgery is a possible choice for intravascular leiomyomatosis with intracardiac extension.
DESIGN: Stepwise demonstration of the technique with a video.
SETTING: General Hospital.
PATIENT(S): A 40-year-old woman with palpitation and dyspnea.
INTERVENTION(S): The patient was diagnosed with intravascular leiomyomatosis by computed tomography scan. She underwent a successful single-stage minimally invasive surgery with complete excision.
MAIN OUTCOME MEASURE(S): The feasibility and safety of using this technique for intravascular leiomyomatosis with intracardiac extension.
RESULT(S): A combined thoracoabdominal surgery was successfully performed. During the procedure, cardiopulmonary bypass was maintained for 72 minutes. The patient soon recovered and was discharged.
CONCLUSION(S): Minimally invasive surgery is a possible choice for intravascular leiomyomatosis with intracardiac extension.