Total Laparoscopic Hysterectomy: A Five-Year Experience

被引:8
作者
Cheung, Vincent Y. T. [1 ,2 ]
Rosenthal, David M. [1 ,2 ]
Morton, Matthew [1 ,2 ]
Kadanka, Hanna [3 ]
机构
[1] Univ Toronto, North York Gen Hosp, Dept Obstet, Toronto, ON, Canada
[2] Univ Toronto, North York Gen Hosp, Dept Gynaecol, Toronto, ON, Canada
[3] Univ Toronto, North York Gen Hosp, Family & Community Med, Toronto, ON, Canada
关键词
Laparoscopic hysterectomy; complications; laparoscopy; hysterectomy;
D O I
10.1016/S1701-2163(16)32429-X
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To review the surgical outcomes of total laparoscopic hysterectomy (TLH) over a five-year period in a teaching community hospital. Methods: We reviewed demographic data, intraoperative and postoperative outcomes, and morbidity data on 175 women who underwent TLH between January 2001 and December 2005. Results: No bowel or urinary tract injury occurred in any of the patients. The major and minor complication rates were 4.0% and 2.9% respectively. The mean operating time was 108.2 minutes, standard deviation (SD) 29.6 minutes, range 60-199 minutes, and the mean length of hospital stay was 1.2 days, SD 0.4 days. The mean uterine weight was 292.9 g, SD 206.3 g, with the largest specimen weighing 1126 g. Conclusion: The cases reported here had operating times and lengths of hospital stay that were similar to those in previously published reports, and the complication rate was lower than in previous reports. TLH is a safe and acceptable alternative to standard hysterectomy.
引用
收藏
页码:337 / 343
页数:7
相关论文
共 27 条
[1]   Results of eVALuate study of hysterectomy techniques - Laparoscopic hysterectomy may yet have a bright future [J].
Canis, MJ ;
Wattiez, A ;
Mage, G ;
Bruhat, MA .
BRITISH MEDICAL JOURNAL, 2004, 328 (7440) :642-643
[2]  
Cheung VYT, 2002, J ASS GYNECOL LAPA S, V9, pS68
[3]  
Cheung VYT, 2002, J ASS GYNECOL LAPA S, V9, pS8
[4]  
Donnez J, 2004, BRIT MED J, V328, P643, DOI 10.1136/bmj.328.7440.643
[5]   The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy [J].
Garry, R ;
Fountain, J ;
Mason, S ;
Napp, V ;
Brown, J ;
Hawe, J ;
Clayton, R ;
Abbott, J ;
Phillips, G ;
Whittaker, M ;
Lilford, R ;
Bridgman, S .
BRITISH MEDICAL JOURNAL, 2004, 328 (7432) :129-133
[6]   The future of hysterectomy [J].
Garry, R .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2005, 112 (02) :133-139
[7]   Laparoscopic-assisted vaginal hysterectomy versus total laparoscopic hysterectomy for the management of endometrial cancer: A randomized clinical trial [J].
Ghezzi, F ;
Cromi, A ;
Bergamini, V ;
Uccella, S ;
Beretta, P ;
Franchi, M ;
Bolis, P .
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2006, 13 (02) :114-120
[8]  
Hunt RB, 2003, PRIMER GYNECOLOGIC E
[9]   Methods of hysterectomy: systematic review and meta-analysis of randomised controlled trials [J].
Johnson, N ;
Barlow, D ;
Lethaby, A ;
Tavender, E ;
Curr, L ;
Garry, R .
BMJ-BRITISH MEDICAL JOURNAL, 2005, 330 (7506) :1478-1481
[10]  
Lefebvre G, 2002, OBSTET GYNAECOL, V24, P37, DOI DOI 10.1016/S1701-2163(16)30272-9