Comparison of three subcategories of laparoscopic hysterectomy.
- Author:
Chun-hong RONG
1
;
Keng SHEN
;
Jing-he LANG
;
Jia-xin YANG
;
Ming WU
;
Ling-ya PAN
;
Jin-hua LENG
Author Information
- Publication Type:Journal Article
- MeSH: Endometriosis; surgery; Female; Humans; Hysterectomy; adverse effects; methods; Hysterectomy, Vaginal; adverse effects; methods; Laparoscopy; adverse effects; methods; Myoma; surgery; Retrospective Studies; Uterine Neoplasms; surgery
- From: Acta Academiae Medicinae Sinicae 2007;29(3):418-421
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo 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.
METHODSWe 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.
RESULTSMyoma 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.