Literature DB >> 25582101

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

Fong W Liu1, Valerie B Galvan-Turner2, Krista S Pfaendler2, Teresa C Longoria2, Robert E Bristow2.   

Abstract

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.
Copyright © 2015. Published by Elsevier Inc.

Entities:  

Keywords:  minimally invasive surgery; morcellation; uterine sarcoma

Mesh：

Year:  2015        PMID： 25582101      PMCID： PMC4457589          DOI： 10.1016/j.ajog.2015.01.012

Source DB:  PubMed          Journal:  Am J Obstet Gynecol        ISSN： 0002-9378            Impact factor:   8.661


  68 in total

1.  Uterine sarcoma: can it be differentiated from uterine leiomyoma with Doppler ultrasonography? A preliminary report.

Authors:  K Hata; T Hata; R Maruyama; M Hirai
Journal:  Ultrasound Obstet Gynecol       Date:  1997-02       Impact factor: 7.299

2.  The impact of tumor morcellation during surgery on the prognosis of patients with apparently early uterine leiomyosarcoma.

Authors:  Jeong-Yeol Park; Sun-Kyung Park; Dae-Yeon Kim; Jong-Hyeok Kim; Yong-Man Kim; Young-Tak Kim; Joo-Hyun Nam
Journal:  Gynecol Oncol       Date:  2011-05-12       Impact factor: 5.482

3.  Comparison of laparoscopically assisted vaginal hysterectomy and abdominal hysterectomy: a randomized controlled trial.

Authors:  Kiattisak Kongwattanakul; Kovit Khampitak
Journal:  J Minim Invasive Gynecol       Date:  2011-11-30       Impact factor: 4.137

4.  The accuracy of endometrial sampling in the diagnosis of patients with endometrial carcinoma and hyperplasia: a meta-analysis.

Authors:  F P Dijkhuizen; B W Mol; H A Brölmann; A P Heintz
Journal:  Cancer       Date:  2000-10-15       Impact factor: 6.860

5.  New challenges in detecting, grading, and staging endometrial cancer after uterine morcellation.

Authors:  Colleen Rivard; Alia Salhadar; Kimberly Kenton
Journal:  J Minim Invasive Gynecol       Date:  2012-03-13       Impact factor: 4.137

Review 6.  Clinical management of uterine sarcomas.

Authors:  Frédéric Amant; An Coosemans; Maria Debiec-Rychter; Dirk Timmerman; Ignace Vergote
Journal:  Lancet Oncol       Date:  2009-12       Impact factor: 41.316

7.  Usefulness of Gd-DTPA contrast-enhanced dynamic MRI and serum determination of LDH and its isozymes in the differential diagnosis of leiomyosarcoma from degenerated leiomyoma of the uterus.

Authors:  A Goto; S Takeuchi; K Sugimura; T Maruo
Journal:  Int J Gynecol Cancer       Date:  2002 Jul-Aug       Impact factor: 3.437

8.  [Hysterectomies performed for presumed leiomyomas: should the fear of leiomyosarcoma make us apprehend non laparotomic surgical routes?].

Authors:  F Leung; J-J Terzibachian; C Gay; B Chung Fat; Z Aouar; C Lassabe; R Maillet; D Riethmuller
Journal:  Gynecol Obstet Fertil       Date:  2009-02-05

9.  Impact of minimally invasive surgery on medical spending and employee absenteeism.

Authors:  Andrew J Epstein; Peter W Groeneveld; Michael O Harhay; Feifei Yang; Daniel Polsky
Journal:  JAMA Surg       Date:  2013-07       Impact factor: 14.766

10.  Prognostic factors and survival in 1396 patients with uterine leiomyosarcomas: emphasis on impact of lymphadenectomy and oophorectomy.

Authors:  Daniel S Kapp; Jacob Y Shin; John K Chan
Journal:  Cancer       Date:  2008-02-15       Impact factor: 6.860
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  5 in total

1.  Laparoscopic Myomectomy - Converting to Laparotomy for a Suspicious Intraoperative Appearance with Subsequent Benign Histology - a Pre- and Intra-Operative Dilemma.

Authors:  Sarah Wali; Charlotte Porter-Hope; Tejal N Amin; Tariq Miskry
Journal:  Int J Womens Health       Date:  2020-09-17

2.  Abdominal leiomyosarcomatosis after surgery with external morcellation for occult smooth muscle tumors of uncertain malignant potential: A case report.

Authors:  Antonio Macciò; Giacomo Chiappe; Paraskevas Kotsonis; Fabrizio Lavra; Michele Serra; Roberto Demontis; Clelia Madeddu
Journal:  Int J Surg Case Rep       Date:  2017-07-19

3.  A Case Report Of Uterine Leiomyosarcoma.

Authors:  Siyu Cao; Yang Liu; Xuechai Bai; Liang Wang
Journal:  Onco Targets Ther       Date:  2019-10-16       Impact factor: 4.147

4.  Risk of incidental genital tract malignancies at the time of myomectomy and hysterectomy for benign conditions.

Authors:  Garima Yadav; Meenakshi Rao; Shuchita Batra Goyal; Pratibha Singh; Priyanka Kathuria; Meenakshi Gothwal
Journal:  Obstet Gynecol Sci       Date:  2020-12-16

5.  A comparative study on the short-term clinical efficacy of the modified laparoscopic uterine comminution technique and traditional methods.

Authors:  Xiaojun Shi; Libing Shi; Songying Zhang
Journal:  Mol Clin Oncol       Date:  2020-01-21
  5 in total

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