Clinical Value of Laparoscopic Supracervical Hysterectomy / 中国微创外科杂志

ABSTRACT

Objective To explore the clinical value of laparoscopic supracervical hysterectomy (LSH). Methods From July 2006 to September 2007,78 cases of LSH and 59 cases of abdominal supracervical hysterectomy (ASH) were performed in our hospital. The clinical data of the patients,including intraoperative blood loss,operation time,recovery time of bowel movement,postoperative time of out-of-bed activity and postoperative hospital stay,were analyzed and compared between the two groups.Results No significant difference was found on the mean intraoperative blood loss between the LSH group and ASH group [(65.1?25.5) ml vs (72.9?23.6) ml,t=-1.830,P=0.069]. Whereas,the LSH group had significantly longer operation time and earlier recovery of the gastrointestinal function [(80.3?29.6) min vs (62.4?13.1) min,t=4.332,P=0.000;and (26.5?8.5) h vs (30.9?7.0) h,t=-3.232,P=0.001]. Furthermore,the LSH patients had out-of-bed activity and were discharged from hospital significantly earlier than the ASH group [(32.8?6.7) h vs (40.4?9.7)h,t=-5.421,P=0.000;and (7.1?0.6) d vs (7.9?0.5) d,t=-8.291,P=0.000]. No major complication occurred in both the groups. Conclusions LSH shows great advantages over ASH. As long as surgeons are skilled in laparoscopic operation,LSH can be an ideal procedure for hysterectomy.