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Your search keyword '"Yoshimichi Tanaka"' showing total 2 results
Start Over Author "Yoshimichi Tanaka" Journal journal of obstetrics and gynaecology research
2 results on '"Yoshimichi Tanaka"'

1. Total laparoscopic modified radical hysterectomy with lymphadenectomy for endometrial cancer compared with laparotomy

Author

Yoshito Terai, Saha Yoo, Masahide Ohmichi, Tomohito Tanaka, Satoe Fujiwara, Hiroshi Sasaki, Yoshimichi Tanaka, Masanori Kanemura, Hiroshi Kawaguchi, and Satoshi Tsunetoh

Subjects
medicine.medical_specialty, Hysterectomy, medicine.diagnostic_test, business.industry, medicine.medical_treatment, Endometrial cancer, Obstetrics and Gynecology, Retrospective cohort study, medicine.disease, Surgery, Laparotomy, Carcinoma, medicine, Lymphadenectomy, Lymph, business, Laparoscopy
Abstract

Aim This is the first report to determine the feasibility and safety of total laparoscopic modified radical hysterectomy (TLMRH) in the treatment of presumed stage I endometrial cancer. Methods This was a retrospective study of 132 consecutive patients who underwent surgery for early endometrial cancer. Thirty-nine patients underwent TLMRH and bilateral salpingo-oophorectomy (BSO), and 93 had a total abdominal extrafascial hysterectomy and BSO. Lymphadenectomy was performed in 87 patients. The groups were compared for epidemiological and clinical characteristics, surgical outcomes, hospital stay, lymph nodes harvested, and intraoperative and postoperative complications. Results The patients in the TLMRH group had less blood loss (42.9 ± 76.3 vs 236.8 ± 186.6 mL, P

Published
2013

2. Preoperative assessment by magnetic resonance imaging is useful for planning the treatment of an enlarged uterus by total laparoscopic hysterectomy

Author

Koji Hatta, Yoshito Terai, Saha Yoo, Atsushi Hayashi, Yoshihiro Nakamura, Yoshimichi Tanaka, Kiyoji Okuda, Yoshiki Yamashita, Masahide Ohmichi, and Satoshi Tsunetoh

Subjects
medicine.medical_specialty, Hysterectomy, medicine.diagnostic_test, business.industry, medicine.medical_treatment, Uterus, Obstetrics and Gynecology, Myoma, Magnetic resonance imaging, Retrospective cohort study, medicine.disease, Surgery, medicine.anatomical_structure, Leiomyoma, medicine, Enlarged Uterus, business, Laparoscopy
Abstract

Aim The purpose of this study was to compare the intraoperative and postoperative parameters among the three approaches used to treat large uterine myomas: laparoscopic assisted vaginal hysterectomy (LAVH), total laparoscopic hysterectomy (TLH) and abdominal hysterectomy, and to evaluate the selection criteria for laparoscopic hysterectomy as determined by magnetic resonance imaging. Material and Methods The medical records of 155 patients who underwent a hysterectomy between January 2007 and April 2010 were examined. We also compared the indications and outcomes of LAVH and TLH for myomas larger than 7 cm. Results Patients who underwent LAVH or TLH had a lower average intraoperative blood loss, less intense postoperative pain, and shorter hospital stays than patients in the TAH group, although the length of the operations in the laparoscopic groups were significantly longer. To evaluate the selection criteria for the large sized myomas, we compared the LAVH and TLH groups for the myomas larger than 7 cm. The greatest uterine transverse diameters and the weight of the uteri were not significantly different between the LAVH and TLH groups (94.7 ± 20.8 and 83.1 ± 17.6 mm, 371.6 ± 160.3 and 286.7 ± 158.0 g, respectively). The average intraoperative blood loss in the TLH group was significantly lower than that in the LAVH (121.3 ± 111.2 vs 379.3 ± 222.4 g, P

Published
2013

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