Please wait a minute...
European Journal of Gynaecological Oncology  2021, Vol. 42 Issue (1): 179-182    DOI: 10.31083/j.ejgo.2021.01.2256
Special Issue: Topic Collection "Minimally Invasive Surgery in Gynecological Oncology"
Case Report Previous articles | Next articles
Cesarean scar perforation in laparoscopic hysterectomy for endometrial cancer: a case report
Azusa Kimura1, Kenro Chikazawa1, *(), Ken Imai1, Ito Takaki1, Tomoyuki Kuwata1, Ryo Konno1
1Department of Obstetrics and Gynaecology, Saitama Medical Center, The Jichi Medical University, 1-847, Amanuma-Cho, Omiya-Ku, 330-8503 Saitama, Japan
Download:  PDF(935KB)  ( 81 ) Full text   ( 24 )
Export:  BibTeX | EndNote (RIS)      
Abstract  
Perioperative complications tend to increase when performing hysterectomy in patients with a history of caesarean section. Therefore, the laparoscopic hysterectomy procedure requires careful consideration. Herein, we report the case of a patient with a history of caesarean section who underwent total laparoscopic hysterectomy for endometrial cancer. A 59-year-old woman was diagnosed with stage IA endometrial cancer preoperatively, and she underwent laparoscopic hysterectomy, bilateral adnexectomy, and pelvic lymphadenectomy. During these procedures, the bladder was observed to tightly adhere to the scar of a previous caesarean section, and the uterine was perforated due to detachment near the uterus to avoid damage to the bladder. After 2 years, there were no symptoms of recurrence. Our findings further demonstrated that bladder adhesions should be considered in laparoscopic surgery for patients with endometrial cancer who have a history of caesarean section.
Key words:  Endometrial cancer      Laparoscopy      Caesarean section     
Submitted:  24 September 2020      Revised:  12 November 2020      Accepted:  18 November 2020      Published:  15 February 2021     
*Corresponding Author(s):  Kenro Chikazawa     E-mail:  kendokendo@hotmail.com

Cite this article: 

Azusa Kimura, Kenro Chikazawa, Ken Imai, Ito Takaki, Tomoyuki Kuwata, Ryo Konno. Cesarean scar perforation in laparoscopic hysterectomy for endometrial cancer: a case report. European Journal of Gynaecological Oncology, 2021, 42(1): 179-182.

URL: 

https://ejgo.imrpress.com/EN/10.31083/j.ejgo.2021.01.2256     OR     https://ejgo.imrpress.com/EN/Y2021/V42/I1/179

[1] Yuichiro Miyamoto, Michihiro Tanikawa, Kenbun Sone, Mayuyo Mori-Uchino,Tetsushi Tsuruga, Yutaka Osuga. Introduction of minimally invasive surgery for the treatment of endometrial cancer in Japan: a review[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 10-17.
[2] Joseph J. Noh, Tae-Joong Kim. The current evidence for the use of minimally-invasive surgery in endometrial cancer[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 18-25.
[3] Burak Tatar. Assessment of myometrial invasion of endometrial carcinoma with preoperative transvaginal sonography[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 85-89.
[4] Tomohito Tanaka, Shoko Ueda, Shunsuke Miyamoto, Shinichi Terada, Hiromi Konishi, Yuhei Kogata, Satoe Fujiwara, Yoshimichi Tanaka, Kohei Taniguchi, Kazumasa Komura, Masahide Ohmichi. Short-term outcomes for patients with endometrial cancer who received robot-assisted modified radical hysterectomy: A retrospective observational study[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 90-95.
[5] Joseph J. Noh, Kyue-Hee Choi, Hyun-Soo Kim, Jeong-Won Lee. Port site implantation of clear cell carcinoma after laparoscopic ovarian cystectomy[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 174-178.
[6] Hideaki Yajima, Eiji Kondo, Masafumi Nii, Michiko Kaneda, Kenta Yoshida, Tomoaki Ikeda. Robotic hysterectomy with pelvic lymphadenectomy for early endometrial cancer in a patient with situs inversus totalis using 3D-CT analysis: a case report[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 189-192.
[7] Yun Jin Bang, Jong-Min Lee , Seung Yeon Pyeon. Endometrial adenocarcinoma arising in adenomyosis: case report and review of literature[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 858-862.
[8] Angel Yordanov, Stanislav Slavchev, Stoyan Kostov, Strahil Strashilov, Mariela Vasileva-Slaveva, Assia Konsoulova. Synchronous Primary Carcinoma of Uterine Cervix and Endometrium - Single-center retrospective study[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 939-942.
[9] Jeong In Choi, Jae Hong Sang, Soo-Ho Chung. Is laparotomy better than laparoscopic surgery in early cervical cancer?[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 949-951.
[10] Yuji Tanaka, Yusuke Shimizu, Ai Ikki, Kota Okamoto, Atsushi Fusegi, Makoto Nakabayashi, Makiko Omi, Tomoko Kurita, Terumi Tanigawa, Yoichi Aoki, Sachiho Netsu, Mayu Yunokawa, Hidetaka Nomura, Maki Matoda, Sanshiro Okamoto, Kohei Omatsu, Hiroyuki Kanao. Laparoscopic ureteral reconstruction in gynaecological recurrent cancer surgeries: an initial case series study[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 975-981.
[11] Urszula Religioni, Aleksandra Czerw, Michał P. Budzik, Andrzej Deptała, Anna M. Badowska-Kozakiewicz. Assessment of pain, acceptance of the disease, adaptation to life and strategies of coping with the disease in patients with endometrial cancer[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 1016-1022.
[12] Laura Baquedano Mainar,Andrea Espiau Romera, Pluvio Jesús Coronado Martín. HE4 in endometriod and non- endometrioid subtype of endometrial cancer does not mean the same[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 1039-1044.
[13] Yusuke Matoba, Kouji Banno, Yusuke Kobayashi, Kosuke Tsuji, Iori Kisu, Daisuke Aoki. Complete resection of an endometrial cancer lesion by hysteroscopic tumor resection combined with photodynamic diagnosis: a case report[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 1050-1055.
[14] Ikuji Shimazaki, Yasunori Hashiguchi, Makoto Yamauchi, Mari Kasai, Takeshi Fukuda, Tomoyuki Ichimura, Tomoyo Yasui, Toshiyuki Sumi. Secondary small cell vaginal cancer after operative therapy for endometrial cancer[J]. European Journal of Gynaecological Oncology, 2020, 41(5): 821-823.
[15] Yu Hui Lim, Sheow Lei Lim, Linda Xiao Hui Lin, Lay Tin Soh, Hoon Seng Khoo Tan, Richard Ming Chert Yeo, Timothy Yong Kuei Lim. Sequential Chemoradiation versus Radiation for the Adjuvant Treatment of Stage III Endometrioid Adenocarcinoma of the Uterus[J]. European Journal of Gynaecological Oncology, 2020, 41(5): 705-712.
No Suggested Reading articles found!