Comparison of three subcategories of laparoscopic hysterectomy / 中国医学科学院学报
Acta Academiae Medicinae Sinicae
;
(6): 418-421, 2007.
Article
in Chinese
| WPRIM
| ID: wpr-229962
ABSTRACT
<p><b>OBJECTIVE</b>To compare the clinical characteristics of three subcategories of laparoscopic hysterectomy total laparoscopic hysterectomy (TLH) and two subcategories of laparoscopic-assisted vaginal hysterectomy (LAVH) LAVHs and LAVHb.</p><p><b>METHODS</b>We retrospectively analyzed the clinical data of 393 patients underwent laparoscopic hysterectomy, including TLH (n=178), LAVHa (n=177), and LAVHb (n=38), in our hospital from September 2002 to September 2005.</p><p><b>RESULTS</b>Myoma and adenomyosis of uterus were the most common diseases in this study, accounting for 66.9%, 38.4%, and 52.6% in TLH group, LAVHa group, and LAVHb group, respectively. The mean surgery duration and blood loss were not significantly different between TLH group and LAVHa group (P > 0.05), but were significantly less in TLH group than in LAVHb group (P < 0.05). The bulk of uterus in TLH group was significantly bigger than in other two groups (P < 0.05). The incidence of major complications in the TLH group (9. 0%) was lower than in LAVHa group (14.1%) and in LAVHb group (18.4%), but without statistical significance. Conclusion Compared with LAVH, TLH is feasible to deal with bigger uterus with less blood loss and shorter surgery duration and without more frequent complications.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Uterine Neoplasms
/
Retrospective Studies
/
Laparoscopy
/
Endometriosis
/
Hysterectomy
/
Hysterectomy, Vaginal
/
Methods
/
Myoma
Type of study:
Observational study
Limits:
Female
/
Humans
Language:
Chinese
Journal:
Acta Academiae Medicinae Sinicae
Year:
2007
Type:
Article
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