| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
|
|
タイトル |
Preoperative MRI-Estimated Uterine Volume and the Possibility of Vaginal Extraction in Robot-Assisted Total Hysterectomy |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Hysterectomy |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
MRI |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Uterine Volume |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Robot-Assisted Surgery |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Morcellation |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Kawarai, Yoshimasa
Hirose, Masaki
Kuno, Tatsuya
Soeda, Wakana
Obayashi, Satoshi
Mitsuhashi, Akira
|
| 書誌情報 |
en : Dokkyo Medical Journal
巻 4,
号 5,
p. 389-395,
発行日 2025-10-25
|
| 記事種別 |
|
|
値 |
Original |
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Intracorporeal morcellation within the vaginal canal is feasible for benign uterine tumors but not malignant ones. Moreover, predicting whether the uterus can be extracted transvaginally via robot-assisted hysterectomy without morcellation is challenging, especially in patients with an enlarged uterus. We retrospectively analyzed 38 women who underwent robot-assisted hysterectomies for benign uterine tumors between August 2021 and September 2024. We assessed the correlation between preoperative magnetic resonance imaging(MRI)-estimated uterine volume and extracted uterine weight. Logistic regression analysis was used to identify the factors influencing the decision for morcellation. Receiver operating characteristic (ROC) curve analysis was used to determine the optimal cutoff value of the MRI-estimated uterine volume for predicting the need for morcellation. Morcellation was necessary in 24 patients, while 14 patients underwent vaginal extraction without morcellation. The median uterine weights were 275 and 135 g in the morcellation and nonmorcellation groups, respectively. Uterine weight > 200 g and the presence of subserosal fibroids were significantly associated with morcellation necessity. A strong correlation (r = 0.775, p < 0.001) was observed between the MRI-estimated volume and uterine weight. ROC analysis identified 391 cm3 as the optimal cutoff for predicting morcellation (area under the curve = 0.799; sensitivity, 58%; specificity, 100%). The MRIestimated uterine volume is a reliable predictor of whether the uterus can be removed vaginally without morcellation, aiding in preoperative planning for robot-assisted hysterectomy. |
| 出版者 |
|
|
出版者 |
Dokkyo Medical Society |
| ISSN |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2436-522X |
| 書誌レコードID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA00629581 |
| DOI |
|
|
関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.51040/dkmj.2025-022 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
DKMJ-4-5-5.pdf (348 KB)
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