Abstract:
Objective
To summarize the experience of transumbilical laparoendoscopic single-site surgery (TU-LESS) for an accidental endometrial stromal sarcoma, and investigate the safety and feasibility of the therapy for this disease.
Methods
The clinical datas of a case of accidental endometrial stromal sarcoma undergoing TU-LESS in the Department of Obstetrics and Gynecology, West China Second Hospital in Feb. 2020 were analyzed retrospectively.
Results
The operations were performed successfully and no intraperitoneal cancer spread were found. Postoperative pathological report suggests low-grade endometrial stromal sarcoma. The patient recovers well and continues to follow up closely. Three months after operation, the patient′s ultrasound, vaginal cuff cytology, tumor markers and hormone examination were normal.
Conclusions
Low-grade endometrial stromal sarcoma is easily misdiagnosed as uterine leiomyoma before operation. In order to improve the prognosis, in addition to early diagnosis, the principle of tumor-free should be strictly observed during operation. TU-LESS, avoiding the use of electric or power morcellators, is safe and feasible for the treatment of minimally invasive treatment of uterine leiomyoma, with the advantages of least invasion, lesser postoperative pain, faster recovery, and better cosmetic result. Therefore, TU-LESS is worth popularizing.
Key words:
Transumbilical laparoendoscopic single site surgery,
Low-grade endometrial stromal sarcoma
Yawen Wang, Ying Zheng. Transumbilical laparoendoscopic single-site surgery treatment of an accidental endometrial stromal sarcoma: a case report[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2020, 13(05): 301-304.