Study on the operation methods of laparoscopic resection of large uterus
10.3760/cma.j.issn.1008-1372.2014.07.019
- VernacularTitle:腹腔镜大子宫切除方法探讨
- Author:
Fulian ZHONG
;
Saijun HUANG
;
Xianying WANG
;
Mingbo WANG
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Leiomyoma/surgery;
Uterine neoplasms/surgery;
Hysterectomy/methods
- From:
Journal of Chinese Physician
2014;(7):923-924
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility of laparoscopic resection of large uterus .Methods Patients with large uterus ( volume such as 12~20 weeks pregnant size ) by the implementation of laparoscopic hysterectomy were collected in our hospital and Dongguan Tung Wah Hospital from January 2010 to December 2012 .The uterus was carried out a complete hysterectomy through intra-operation by upward into the abdominal puncture point , ligation cutting tumor , and reduction of the uterine body method .Results A total of 38 patients was carried out hysterectomy operation .According to the size of uterus , the lens opening and operating hole was cor-responding upward to expand the horizons and operating space under microscope , and the use of stepwise ligation method to gradually cut reduced uterine body and release the operation space for overcoming the narrow operation space .Each hysterectomy operation was smoothly completed , and no case was converted to laparotomy .Conclusions Laparoscopic hysterectomy with the puncture point , and moving after ligation cutting shrink small palace body method can effectively create space for operation , and safety and feasibility of lap-aroscopic resection is helpful to improve the large uterus .
