A critical assessment of morcellation and its impact on gynecologic surgery and the limitations of the existing literature

被引：33
作者：
Liu, Fong W. [1 ]
Galvan-Turner, Valerie B. [1 ]
Pfaendler, Krista S. [1 ]
Longoria, Teresa C. [1 ]
Bristow, Robert E. [1 ]
机构：
[1] Univ Calif Irvine, Irvine Med Ctr, Dept Obstet & Gynecol, Div Gynecol Oncol, Orange, CA 92668 USA
来源：
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2015年 / 212卷 / 06期
基金：
美国国家卫生研究院;
关键词：
minimally invasive surgery; morcellation; uterine sarcoma; LAPAROSCOPIC SUPRACERVICAL HYSTERECTOMY; ASSISTED VAGINAL HYSTERECTOMY; POSITRON-EMISSION-TOMOGRAPHY; ENDOMETRIAL STROMAL SARCOMA; RANDOMIZED-CONTROLLED-TRIAL; RENAL-CELL CANCER; UTERINE SARCOMAS; DOPPLER ULTRASONOGRAPHY; ABDOMINAL HYSTERECTOMY; META-ANALYSIS;
D O I：
10.1016/j.ajog.2015.01.012
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Uterine sarcomas are rare uterine malignancies that are difficult to diagnose preoperatively. Because of cases of disseminated sarcoma after laparoscopic hysterectomy, the role of power morcellators in gynecologic surgery has been questioned. Morcellation is an integral part of making laparoscopic surgery possible for the removal of large uterine leiomyomata, and the development of power morcellation has increased efficiency during these procedures. Minimally invasive surgery has demonstrated benefits that include improved pain control, decreased infection risk, and faster surgical recovery and return to work. In this review, we examine the risk of incidental sarcoma at the time of surgery, the quality of the data, the accuracy of clinical and radiologic predictors of uterine sarcoma, and the impact of morcellation on the prognosis of uterine sarcoma.
引用
收藏
页码：717 / 724
页数：8
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