The Experience of Transumbilical Laparoendoscople Single-Site Surgical Treatment by A Case of Accidental Detection of Low-Grade Endometrial Stromal Sarcoma

doi:10.12280/gjfckx.20220723

Abstract

Abstract:

This article reports a case of low-grade endometrial stromal sarcoma (LG-ESS), which was accidentally found after 2 times of transumbilical laparoendoscople single-site surgery (TU-LESS), retrospectively. The patient was diagnosed with uterine fibroid before the first operation. The uterine fibroid was removed by TU-LESS bag cold knife rotary cutting. The pathological diagnosis was LG-ESS after the operation. After 30 days, a small amount of peritoneal planting was seen in the TU-LESS comprehensive staging operation again. Progesterone treatment was given after the operation. The tumor markers were normal after 20 months of follow-up. The umbilical incision and vaginal stump healed well. TU-LESS has the characteristics of light pain, beautiful wound, and rapid postoperative recovery. The most important thing is that the myoma specimens can be safely and effectively removed to avoid the widespread of sarcoma in the whole abdomen caused by the use of electric rotary cutter. However, during the operation, it is still necessary to be vigilant for peritoneal implantation caused by tumor splash during myomectomy, and each operation should strictly follow the principle of tumor-free.

Key words: Uterine neoplasms, Myoma, Low-grade endometrial stromal sarcoma, Transumbilical laparoendoscople single-site surgery, Laparoscopy

YANG Xu, ZHENG Ying, CHEN Si-jing. The Experience of Transumbilical Laparoendoscople Single-Site Surgical Treatment by A Case of Accidental Detection of Low-Grade Endometrial Stromal Sarcoma[J]. Journal of International Obstetrics and Gynecology, 2023, 50(1): 50-53.

Figures/Tables 10

References 11

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