Comparison of Laparoscopic-assisted Vaginal Hysterectomy and Trans-abdominal Hysterectomy for the Treatment of Large Uterus
- VernacularTitle:腹腔镜辅助阴式与开腹全子宫切除术治疗大子宫的对比分析
- Author:
Dan XU
;
Meiyan TANG
- Publication Type:Journal Article
- Keywords:
Laparoscopic-assisted vaginal hysterectomy;
Trans-abdominal hysterectomy;
Large uterus
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
12 gestational-week uterus) were treated in our hospital by LAVH. The operation time,intraoperative blood loss,and postoperative recovery of the patients were compared to another 110 cases that underwent TAH. Results The operation time in the TAH group was significantly shorter than that in the LAVH group [(109?27) min vs (130?22) min,t=-6.441,P=0.000]. During the operation,the LAVH group had a mean of (121?70) ml blood loss,which was significantly lower than that in the TAH group [(141?73) ml,t=-0.903,P=0.368]. After the operation,the patients in the TAH group had longer recovery time for gastrointestinal function and longer hospital stay than those in the LAVH group [(45?13) h vs (24?6) h,t=15.778,P=0.000;and (7?2) d vs (5?2) d,t=7.530,P=0.000]. Conclusions Compared to TAH,LAVH results in shorter hospital stay and fewer postoperative complications. It is a feasible and safe treatment for large uterus.
