LAPAROSCOPIC HYSTERECTOMY - A PRELIMINARY-STUDY

被引：22

作者：

CANIS, M ^{[1
]}

MAGE, G ^{[1
]}

CHAPRON, C ^{[1
]}

WATTIEZ, A ^{[1
]}

POULY, JL ^{[1
]}

BRUHAT, MA ^{[1
]}

机构：

[1] POLYCLIN HOTEL DIEU,DEPT OBSTET GYNECOL & REPROD MED,13 BD CHARLES DE GAULLE,F-63033 CLERMONT FERRAND,FRANCE

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1993年 / 7卷 / 01期

关键词：

LAPAROSCOPIC SURGERY; HYSTERECTOMY;

D O I：

10.1007/BF00591236

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Thirty-three patients were selected for laparoscopic hysterectomy and operated on in the Department of Obstetrics, Gynecology and Reproductive Medicine of Clermont-Ferrand University Hospital. Surgical techniques included blunt dissection with scissors and bipolar coagulation to achieve hemostasis. A case was considered successful when all the uterine vessels were treated by laparoscopy. Twenty-four cases were completed laparoscopically (72.7%). None of these patients had postoperative bleeding; 22 had an uneventful postoperative recovery. Nine procedures were converted to laparotomy (27.3%), five because of a difficult or unsatisfactory hemostasis. We conclude that in selected cases, a total hysterectomy can be performed safely by experienced laparoscopists. Further technological progress is necessary to make this procedure more acceptable. Its value as compared to the others will have to be demonstrated.

引用

页码：42 / 45

页数：4

共 23 条

[1]

Backmann G.A., Hysterectomy: a critical review, J Reprod Med, 35, pp. 839-862, (1990)

[2]

Benedet J.L., Turko M., Boyes D.A., Nickerson K.G., Bienkwska B.T., Radical hysterectomy in the treatment of cervical cancer, Am J Obstet Gynecol, 137, pp. 254-262, (1980)

[3]

Canis M., Mage G., Wattiez A., Pouly J.L., Manhes H., Bruhat M.A., La chirurgie endoscopique a t elle une place dans la chirurgie radicale du cancer du col uterin, J Gynecol Obstet Biol Reprod, 19, (1990)

[4]

Derman S.G., Rehnstrom J., Neuwirth R.S., The long term effectiveness of hysteroscopic treatment of menorrhagia and leiomyomas, Obstet Gynecol, 77, pp. 591-594, (1991)

[5]

Dicker R.C., Greenspan J.R., Strauss L.T., Et al., Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States. The collaborative review of sterilization, Am J Obstet Gynecol, 144, pp. 841-848, (1982)

[6]

Dicker R.C., Scally M.J., Greenspan J.R., Et al., Hysterectomy among women of reproductive age. Trends in the United States 1970–1978, JAMA, 248, pp. 323-327, (1982)

[7]

Goldrath M.H., Fuller T.A., Segal S., Laser vaporization of the endometrium for the treatment of menorrhagia, Am J Obstet Gynecol, 140, pp. 14-19, (1981)

[8]

Jasczak S.E., Evans T.N., Intrafascial abdominal and vaginal hysterectomy: a reappraisal, Obstet Gynecol, 59, pp. 435-444, (1982)

[9]

Kovacs S.R., Cruikshanks H., Rettoh F., Laparoscopy assisted vaginal hysterectomy, Journal of Gynecologic Surgery, 6, pp. 185-193, (1990)

[10]

Larson D.M., Malone J.M., Copeland L.J., Gershenson D.M., Kline R.C., Stringer C.A., Ureteral assessment after radical hysterectomy, Obstet Gynecol, 69, pp. 612-616, (1987)

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