지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2024.7
- 수록면
- 1 - 10 (10page)
- DOI
- https://doi.org/10.3802/jgo.2024.35.e50
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초록· 키워드
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Objective: To describe anatomic patterns of the superficial uterine vein (sUV) and assesstheir association with aspects of the dissection procedure of the anterior layer of thevesicouterine ligament (aVUL) by retrospectively reviewing surgical videos.
Methods: We analyzed patients who under went laparoscopic radical hysterectomy forearly-stage cer vical cancer from 2014 to 2019. The primar y endpoint was the time requiredfor aVUL dissection. Multiple linear regression analyses were performed to identif y factorsinfluencing the time required for aVUL dissection.
Results: Fifty-three Japanese patients were included. Two sUV configurations were obser ved:type 1 (the vein ran ventral to the ureter along the uterine arter y) and type 2 (the vein did notrun along the usual ventral course; it ran dorsal to the ureter or was absent). Approximately30% of the sUVs were type 2. The total time for dissection of both sides of the aVUL wassignificantly shorter for type 2 sUVs than for type 1 sUVs. The number of hemostaticinter ventions during dissection of each side of the aVUL was significantly lower for type 2sUVs than for type 1 sUVs. In the multivariate analysis, the sUV configuration was the factorsignificantly influencing the duration of aVUL dissection on each side (right side: β=−143.4;left side, β=−160.4).
Conclusion: We demonstrated that the sUV had 2 types of courses, ventral and others, and itscourse affected the time required for dissection and the number of hemostatic inter ventions.
Our results provide information supportive of improved radical hysterectomy outcomes.
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