Chyi-Long Lee

OBJECTIVE: Does laparoscopic radical excision of deep endometriosis (DE) and enucleation of endometrioma improve fertility outcomes and reduce recurrence rates in patients with moderate to severe endometriosis? METHODS AND RESULTS: All pat…

OBJECTIVES: The objective of this study was to evaluate postoperative remission of endometriotic-related pain in patients who underwent laparoscopic adenomyomectomy on patients with adenomyosis. MATERIALS AND METHODS: Sixty-eight cases of …

Endometriosis, adenomyosis, and uterine adenomyomas prevail most frequently in reproductive-age women. However, about 2%-4% of postmenopausal women may suffer from endometriosis symptoms, while adenomyosis does not occur frequently after me…

The advent of three-dimensional (3D) laparoscopy has brought significant advancements in surgical techniques and outcomes in gynecology. This review synthesizes findings from recent studies comparing 3D laparoscopy with traditional two-dime…

INTRODUCTION Within the myometrium, the ectopic endometrial tissues, which often migrate from the basalis layer and clonally expand,[1] express diffuse epigenic defects that result in altered responses of estrogens, resistances to progester…

Uterine fibroids and adenomyosis are benign tumors commonly seen in gynecology clinics, more than cancers of the cervix or uterine cancers. Surgical methods for adenomyosis are often unsatisfactory, difficult, and not reproducible. Ultrasou…

Deep infiltrating endometriosis (DIE) is a common finding in patients diagnosed with adenomyosis. Women commonly present with severe, incapacitating dysmenorrhea. We report a case of severe dysmenorrhea and lower abdominal tightness for 4 y…

Deep endometriosis (DE) causes infertility and pelvic pain. Surgical management of DE has become a topic of increasing interest in gynecological surgery. In women desirous of pregnancy, optimal management such as surgery versus first-line a…

OBJECTIVE: To demonstrate an innovative idea for a four-petal method for performing laparoscopic adenomyomectomy on a patient with focal-type adenomyosis. DESIGN: A step-by-step explanation of the technique with narrated video footage. SE…

AIM: With a perplexing pathogenesis and an incidence rate of approximately 10% among women of reproductive age, endometriosis affects more women in Asia than in any other continent in the world. This paper reviews the available data on the …

To assess whether the unilateral or bilateral lesions can affect ovarian reserve and pregnancy outcome in in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) in infertility patients underwent laparoscopic cystectomy. A total …

Adenomyosis, which manifests with focally or diffusely scattered endometrial tissue within the uterine myometrium, is an endometriosis-like disease with controversial pathogenesis and compromised reproductive outcomes. This review, includin…

STUDY OBJECTIVE: To introduce the innovative surgical procedure of treating benign uterine pathology with subtotal hysterectomy by natural orifice transluminal endoscopic surgery (NOTES). DESIGN: Prospective observational study. SETTING: …

OBJECTIVE: To evaluate the incidence and prognosis of unexpected epithelial ovarian cancers (EOCs) occurring in presumed benign endometrioma. MATERIALS AND METHODS: Patients who underwent primary surgery at Chang Gung Memorial Hospital bet…

BackgroundAdenomyosis was found to have negative impacts on embryo implantation. Leukemia inhibitory factor (LIF), proposed to be a molecular marker for endometrial receptivity, works through the LIF receptor (LIFR) on both the embryo and t…

ObjectiveAdenomyosis is a uterine disorder characterized by dysmenorrhea, dyspareunia, abnormal uterine bleeding, and infertility. Pathogenesis indicates that endometrial cells invade and proliferate within myometrium, and inflammatory medi…

OBJECTIVE: To describe the surgical procedures of robot-assisted natural orifice transluminal endoscopic surgery (NOTES) for hysterectomy and to evaluate its feasibility. MATERIALS AND METHODS: From December 2014 to February 2015, four pati…

AIM: The aim of this study was to assess the impact of the laterality of ovarian endometrioma on pregnancy outcome of in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) in infertile patients undergoing laparoscopic cystectom…

STUDY OBJECTIVE: To review the feasibility of laparoscopic repair in cases of ureteral injuries occurring during gynecologic laparoscopy. DESIGN: Retrospective study (Canadian Task Force classification II-3). SETTING: Institution-specific…

ObjectiveTo report a novel technique for cervical reconstruction in a patient with congenital agenesis of the cervix.DesignCase report.SettingUniversity-based tertiary care hospital.Patient(s)A woman with congenital absence of the cervix, f…

ObjectiveTo assess whether the laparoscopist's experience can affect ovarian reserve and pregnancy outcome in vitro fertilization-intracytoplasmic sperm injection (IVF-ICSI) patients who previously underwent laparoscopic conservative treatm…

ObjectiveTo investigate the eutopic endometrial interleukin-18 (IL-18) system including interleukin-18 (IL-18), IL-18 receptor (IL-18R), and IL-18 binding protein (IL-18BP), mRNA, and protein expression in patients with adenomyosis.DesignA …