Robot-Assisted Laparoscopic Myomectomy versus Abdominal Myomectomy for Large Myomas Sized over 10 cm or Weighing 250 g.

Abstract:

PURPOSE:Here, we compared the operative and perioperative outcomes between robot-assisted laparoscopic myomectomy (RALM) and abdominal myomectomy (AM) in patients with large (>10 cm) or heavy myomas (>250 g). MATERIALS AND METHODS:We included 278 patients who underwent multi-port RALM (n=126) or AM (n=151) for large or heavy myomas in a tertiary care hospital between April 2019 and June 2020. The t-test, chi-square, Bonferroni's test, and multiple linear regression were used. RESULTS:No differences were observed in age, body mass index, parity, or history of pelvic surgery between the two groups. Myoma diameters were not different (10.8±2.52 cm vs. 11.2±3.0 cm, p=0.233), but myomas were lighter in the RALM group than in the AM group (444.6±283.14 g vs. 604.68±368.35 g, respectively, p=0.001). The RALM group had a higher proportion of subserosal myomas, fewer myomas, fewer large myomas over >3 cm, lighter myomas, and longer total operating time. However, the RALM group also had shorter hospital stay and fewer short-term complications. Estimated blood loss (EBL) was not different between the two groups. The number of removed myomas was the most significant factor (coefficient=10.89, p<0.0001) affecting the EBL. CONCLUSION:RALM is a feasible myomectomy technique even for large or heavy myomas. RALM patients tend to have shorter hospital stays and fewer postoperative fevers within 48 hours. However, RALM has longer total operating time.

journal_name

Yonsei Med J

journal_title

Yonsei medical journal

authors

Lee SR,Lee ES,Lee YJ,Lee SW,Park JY,Kim DY,Kim SH,Kim YM,Suh DS,Kim YT

doi

10.3349/ymj.2020.61.12.1054

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

1054-1059

issue

12

eissn

0513-5796

issn

1976-2437

pii

61.1054

journal_volume

61

pub_type

杂志文章
  • Rapid prenatal diagnosis of trisomy 21 by real-time quantitative polymerase chain reaction with amplification of small tandem repeats and S100B in chromosome 21.

    abstract::Trisomy 21 (Down syndrome) is the most common congenital anomaly, and it occurs in one out of 700-1000 births. Current techniques such as amniocentesis and chorionic villi sampling (CVS) require lengthy laboratory culture procedures and high costs. This study was undertaken to establish a rapid prenatal diagnosis of t...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2005.46.2.193

    authors: Yang YH,Nam MS,Yang ES

    更新日期:2005-04-30 00:00:00

  • Rethinking statistical approaches to evaluating drug safety.

    abstract:PURPOSE:The current methods used to evaluate the efficacy of drug products are inadequate. We propose a non-inferiority approach to prove the safety of drugs. MATERIALS AND METHODS:Traditional hypotheses for the evaluation of the safety of drugs are based on proof of hazard, which have proven to be inadequate. Therefo...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2007.48.6.895

    authors: Liu JP

    更新日期:2007-12-31 00:00:00

  • All-Trans Retinoic Acid Synergizes with Enasidenib to Induce Differentiation of IDH2-Mutant Acute Myeloid Leukemia Cells.

    abstract:PURPOSE:Pharmacological inhibition of mutant isocitrate dehydrogenase (IDH) reduces R-2-hydroxyglutarate (2-HG) levels and restores cellular differentiation in vivo and in vitro. The IDH2 inhibitor enasidenib (AG-221) has been approved by the FDA as a first-in-class inhibitor for the treatment of relapsed or refractory...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2020.61.9.762

    authors: Kim Y,Jeung HK,Cheong JW,Song J,Bae SH,Lee JI,Min YH

    更新日期:2020-09-01 00:00:00

  • Comparison of perioperative complications between reconstructive pelvic surgery and general gynecologic surgery.

    abstract::The purpose of this study was to compare the perioperative complication rates of reconstructive pelvic surgery and general gynecologic surgery, and to identify the predictive risk factors for perioperative complications in reconstructive pelvic surgery. The medical records of 148 reconstructive pelvic surgery patients...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2004.45.2.281

    authors: Bai SW,An JM,Shin JS,Park JH,Kim SK,Park KH

    更新日期:2004-04-30 00:00:00

  • Intra-synovial ropivacaine and morphine for pain relief after total knee arthroplasty: a prospective, randomized, double blind study.

    abstract:PURPOSE:Several analgesic techniques are available for pain management after a major operation. MATERIALS AND METHODS:From December 2005 to February 2006, a prospective, double-blind study was performed involving 90 patients who had undergone a total knee arthroplasty. Patients were randomly divided into three equal g...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章,随机对照试验

    doi:10.3349/ymj.2007.48.2.295

    authors: Han CD,Lee DH,Yang IH

    更新日期:2007-04-30 00:00:00

  • Diagnostic value of insulin-like growth factor-I in short stature.

    abstract::For the present, to determine growth hormone(GH) deficiency in patients with short stature, many provocative tests using various pharmacological agents such as glucagon, insulin, clonidine, arginine, growth hormone releasing factor, etc. should be done. These are not only complicated but are also misleading in some pa...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.1989.30.4.367

    authors: Park MS,Kim DH

    更新日期:1989-12-01 00:00:00

  • Reperfusion pulmonary edema after the removal of hepatocellular carcinoma embolus.

    abstract::To report a non-fatal case of reperfusion pulmonary edema (RPE) after the removal of a hepatocellular carcinoma embolus, which had caused an acute obstruction of the tricuspid valve and pulmonary vasculature during a hepatic lobectomy. Pulmonary embolism caused by hepatocellular carcinoma embolus is extremely rare, an...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2006.47.2.271

    authors: Lee JM,Lee HJ,Kim ES

    更新日期:2006-04-30 00:00:00

  • Modified Peritoneal Dialysis Catheter Insertion: Comparison with a Conventional Method.

    abstract:PURPOSE:The conventional trocar and cannula method in peritoneal dialysis (PD) catheter insertion has its limitation in clinical setting. The aim of this study was to compare a modified method for percutaneous PD catheter insertion with the conventional method, and demonstrate advantages of the modified method. MATERI...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2015.56.4.981

    authors: Lee YK,Yang PS,Park KS,Choi KH,Kim BS

    更新日期:2015-07-01 00:00:00

  • Apoptotic change and NOS activity in the experimental animal diffuse axonal injury model.

    abstract::Although nitric oxide (NO) plays an important role in the pathophysiological process of cerebral ischemia or severe traumatic brain injury, its contribution to the pathogenesis of moderate diffuse axonal injury (mDAI) remains to be clarified. The alterations in nitric oxide synthase (NOS) activity and the histopatholo...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2001.42.5.518

    authors: Park CO,Yi HG

    更新日期:2001-10-01 00:00:00

  • Invasive papillary carcinoma of the breast presenting as post-traumatic recurrent hemorrhagic cysts.

    abstract::We report the sonographic features of an intracystic papillary carcinoma of the breast presenting as recurrent hemorrhagic cysts following trauma. A 56-year-old woman presented with palpable breast masses after a traumatic event; sonography showed multiple, well-defined, hemorrhagic cysts. Hemorrhagic fluid was evacua...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2006.47.4.575

    authors: Ko KH,Kim EK,Park BW

    更新日期:2006-08-31 00:00:00

  • A case of immunoglobulin E mediated anaphylaxis to levodropropizine.

    abstract::We experienced a case of immunoglobulin E (IgE) mediated anaphylaxis to levodropropizine. The patient was an 18-year old Korean woman. After taking the common cold medication including acetaminophen, domperidone, and levodropropizine, skin rash, angioedema and anaphylaxis were developed immediately. As she was tolerab...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2013.54.1.262

    authors: Park KH,Yun IS,Choi SY,Lee JH,Hong CS,Park JW

    更新日期:2013-01-01 00:00:00

  • Surgical outcome of synchronous second primary cancer in patients with gastric cancer.

    abstract:PURPOSE:In order to improve the likelihood of curative and safe gastric surgery, this study investigated the clinical features and surgical outcomes of gastric cancer with a synchronous cancer. PATIENTS AND METHODS:The clinicopathological data of 10,090 gastric cancer patients at Samsung Medical Center from September ...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2007.48.6.981

    authors: Ha TK,An JY,Youn HG,Noh JH,Sohn TS,Kim S

    更新日期:2007-12-31 00:00:00

  • Clinical Efficacy of Subcutaneous Allergen Immunotherapy in Patients with Atopic Dermatitis.

    abstract:PURPOSE:The clinical usefulness of subcutaneous allergen immunotherapy (SCIT) in the treatment of atopic dermatitis (AD) is still controversial. We analyzed the clinical efficacy of SCIT in patients with AD and the clinical characteristics of patients showing a favorable clinical response to the treatment. MATERIALS A...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2016.57.6.1420

    authors: Nahm DH,Kim ME,Kwon B,Cho SM,Ahn A

    更新日期:2016-11-01 00:00:00

  • Squamous cell carcinoma of the cornea.

    abstract::In this paper, a case of corneal squamous cell carcinoma is reported. Invasive squamous cell carcinoma of the cornea is a rare disorder and has not been previously described in the Korean literature. In this case, the invasive squamous cell carcinoma of the cornea was treated by complete excision and cryotherapy. No e...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2001.42.5.576

    authors: Shin HJ,Sohn JH,Goo YS,Park JY,Choi CH,Kim EK,Cho SH,Yoo NC,Roh JK

    更新日期:2001-10-01 00:00:00

  • Posterior ligamentous complex injuries are related to fracture severity and neurological damage in patients with acute thoracic and lumbar burst fractures.

    abstract:PURPOSE:The proposed the thoracolumbar injury classification system (TLICS) for thoracolumbar injury cites the integrity of the posterior ligamentous complex (PLC). However, no report has elucidated the severity of damage in thoracic and lumbar injury with classification schemes by presence of the PLC injury. The purpo...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2013.54.4.1020

    authors: Machino M,Yukawa Y,Ito K,Kanbara S,Morita D,Kato F

    更新日期:2013-07-01 00:00:00

  • Clinical Implications of Moderate Coronary Stenosis on Coronary Computed Tomography Angiography in Patients with Stable Angina.

    abstract:PURPOSE:The present study investigated the diagnostic accuracy and clinical implications of moderate stenosis (50-69%, Coronary Artery Disease Reporting and Data System, grade 3) on coronary computed tomography angiography (CCTA), compared with invasive coronary angiography (ICA). MATERIALS AND METHODS:Two hundred and...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2018.59.8.937

    authors: Kim C,Hong SJ,Ahn CM,Kim JS,Kim BK,Ko YG,Choi BW,Choi D,Jang Y,Hong MK

    更新日期:2018-10-01 00:00:00

  • Role of different peripheral components in the expression of neuropathic pain syndrome.

    abstract::Peripheral nerve injury frequently leads to neuropathic pain like hyperalgesia, spontaneous pain, mechanical allodynia, thermal allodynia. It is uncertain where the neuropathic pain originates and how it is transmitted to the central nervous system. This study was performed in order to determine which peripheral compo...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2000.41.3.354

    authors: Won R,Lee BH,Park S,Kim SH,Park YG,Chung SS

    更新日期:2000-06-01 00:00:00

  • Comparison of the efficacy and safety of sodium phosphate tablets and polyethylene glycol solution for bowel cleansing in healthy Korean adults.

    abstract:PURPOSE:Bowel cleansing is generally regarded as time-consuming and unpleasant among patients. Patients commonly state that bowel preparation provokes more discomfort than the actual colonoscopic examination. The purpose of this study was to compare two regimens of sodium phosphate (NaP) tablets versus polyethylene gly...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章,随机对照试验

    doi:10.3349/ymj.2014.55.6.1542

    authors: Lee SH,Lee DJ,Kim KM,Seo SW,Kang JK,Lee EH,Lee DR

    更新日期:2014-11-01 00:00:00

  • Current Anticoagulant Usage Patterns and Determinants in Korean Patients with Nonvalvular Atrial Fibrillation.

    abstract:PURPOSE:Stroke prevention in patients with atrial fibrillation (AF) is influenced by many factors. Using a contemporary registry, we evaluated variables associated with the use of warfarin or direct oral anticoagulants (OACs). MATERIALS AND METHODS:In the prospective multicenter CODE-AF registry, 10529 patients with A...

    journal_title:Yonsei medical journal

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.3349/ymj.2020.61.2.120

    authors: Ha HS,Kim J,Lee YS,Kim TH,Lee JM,Park J,Park JK,Kang KW,Shim J,Uhm JS,Park HW,Cha MJ,Choi EK,Kim J,Kim JB,Kim C,Joung B

    更新日期:2020-02-01 00:00:00

  • Association of CYP2C19*2 and *3 genetic variants with essential hypertension in Koreans.

    abstract:PURPOSE:The cytochrome P450 2C19 (CYP2C19) metabolizes arachidonic acid to produce epoxyicosanoid acids, which are involved in vascular tone and regulation of blood pressure. Recent findings suggest that CYP2C19 gene might be considered as a novel candidate gene for treatment of cardiovascular disease. The aim of the p...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2012.53.6.1113

    authors: Shin DJ,Kwon J,Park AR,Bae Y,Shin ES,Park S,Jang Y

    更新日期:2012-11-01 00:00:00

  • Effectiveness of Bi-Parametric MR/US Fusion Biopsy for Detecting Clinically Significant Prostate Cancer in Prostate Biopsy Naïve Men.

    abstract:PURPOSE:To explore the effect of bi-parametric MRI-ultrasound (MR/US) fusion prostate biopsy on the detection of overall cancer and significant prostate cancer (sPCa). MATERIALS AND METHODS:We examined 140 patients with suspected prostate cancer lesions on MRI from August 2016 to March 2018. All patients had undergone...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2019.60.4.346

    authors: Kim YJ,Huh JS,Park KK

    更新日期:2019-04-01 00:00:00

  • Meningitis due to bacillus anthracis.

    abstract::The first case of haemorrhagic meningitis due to Bacillus anthracis in the European part of Turkey is reported here. B. anthracis, sensitive to penicillin, was isolated from the cerebrospinal fluid and blood cultures. Although appropriate therapy was administered, the patient died two days after hospitalization. ...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2005.46.1.159

    authors: Gürcan S,Akata F,Kuloğlu F,Erdoğan S,Tuğrul M

    更新日期:2005-02-28 00:00:00

  • Correlation of hand bone mineral density with the metacarpal cortical index and carpo:metacarpal ratio in patients with rheumatoid arthritis.

    abstract::This study proposed an assessment of the correlation of hand bone mineral density measured by dual energy x-ray absorbtiometry (DXA) with the carpo:metacarpal (C:MC) ratio and metacarpal cortical index (CI) in patients with rheumatoid arthritis (RA). The correlation of total hand BMD, CI and C:MC ratio with BMD at oth...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.1999.40.5.478

    authors: Ozgocmen S,Karaoglan B,Kocakoc E,Ardicoglu O,Yorgancioglu ZR

    更新日期:1999-10-01 00:00:00

  • Consolidations in nodular bronchiectatic Mycobacterium avium complex lung disease: Mycobacterium avium complex or other infection?

    abstract:PURPOSE:The objective of this study is to define the clinical implications of consolidations in nodular bronchiectatic type Mycobacterium avium complex (NBMAC) infection. MATERIALS AND METHODS:A total of 69 patients (M : F = 17 : 52; mean age, 64 years; age range, 41-85 years) with MAC isolated in the sputum culture a...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2010.51.4.546

    authors: Im SA,Park HJ,Park SH,Chun HJ,Jung WS,Kim SH

    更新日期:2010-07-01 00:00:00

  • Surgical Treatment for Falcotentorial Meningiomas.

    abstract::Among intracranial meningiomas, falcotentorial meningiomas, occurring at the junction of the falx cerebri and tentorial dural folds, are extremely rare. Because of their deep location, they are surrounded by critical structures, and have been regarded as one of the most challenging lesions for surgical treatment. In t...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2016.57.4.1022

    authors: Hong CK,Hong JB,Park H,Moon JH,Chang JH,Lee KS,Park SW

    更新日期:2016-07-01 00:00:00

  • A clinicopathological study of Kimura's disease and epithelioid hemangioma.

    abstract::The clinicopathological features of 9 cases of Kimura's disease and 5 cases of epithelioid hemangioma(EH) were reviewed. Patients with Kimura's disease presented with multiple or solitary large tumors occurring in the thigh, arms as well as parotid gland. Histologically, the lesions were characterized by numerous lymp...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.1990.31.3.205

    authors: Ahn HJ,Lee KG

    更新日期:1990-09-01 00:00:00

  • Long Non-Coding RNA TUG1 Promotes Proliferation and Inhibits Apoptosis of Osteosarcoma Cells by Sponging miR-132-3p and Upregulating SOX4 Expression.

    abstract:PURPOSE:Long non-coding RNA taurine upregulated gene 1 (TUG1) is reported to be a vital regulator of the progression of various cancers. This study aimed to explore the exact roles and molecular mechanisms of TUG1 in osteosarcoma (OS) development. MATERIALS AND METHODS:Real-time quantitative PCR was applied to detect ...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2018.59.2.226

    authors: Li G,Liu K,Du X

    更新日期:2018-03-01 00:00:00

  • Initial experiences with proton MR spectroscopy in treatment monitoring of mitochondrial encephalopathy.

    abstract:PURPOSE:Mitochondrial encephalopathy (ME) is a rare disorder of energy metabolism. The disease course can roughly be evaluated by clinical findings. The purpose of this study was to evaluate metabolic spectral changes using proton MR spectroscopy (MRS), and to establish a way to monitor ME by neuroimaging. MATERIALS A...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2010.51.5.672

    authors: Lee SK,Kim J,Kim HD,Lee JS,Lee YM

    更新日期:2010-09-01 00:00:00

  • Asymptomatic electrophysiologic carpal tunnel syndrome in diabetics: entrapment or polyneuropathy.

    abstract::Electrophysiologic carpal tunnel syndrome (CTS) is common and is frequently asymptomatic in diabetics. In order to evaluate the clinical significance of asymptomatic electrophysiologic CTS, the nerve conduction studies (NCS) of 48 diabetics with asymptomatic electrophysiologic CTS were compared with those of 56 age an...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2000.41.1.123

    authors: Kim WK,Kwon SH,Lee SH,Sunwoo IN

    更新日期:2000-02-01 00:00:00

  • Use of grafts in pelvic reconstructive surgery.

    abstract::There has been growing interest in the use of grafts in pelvic reconstructive surgery. This article will address available graft materials and assess their clinical efficacy and safety. We conducted a Pubmed MEDLINE literature search for full-length English text studies with follow-up periods of at least one year. The...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2007.48.2.147

    authors: Jeon MJ,Bai SW

    更新日期:2007-04-30 00:00:00