Effects of total laparoscopic hysterectomy on benign uterine diseases
10.3760/cma.j.issn.1008-6706.2021.09.017
- VernacularTitle:腹腔镜全子宫切除术治疗子宫良性疾病的效果观察
- Author:
Wenjuan JIA
1
Author Information
1. 安徽省，淮南市妇幼保健院妇科 232007
- Keywords:
Uterine diseases;
Hysterectomy;
Laparoscopy;
Gynecologic surgical procedures;
Postoperative complications;
Operative time;
Blood loss,surgical
- From:
Chinese Journal of Primary Medicine and Pharmacy
2021;28(9):1364-1367
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of total laparoscopic hysterectomy in the treatment of benign uterine diseases.Methods:Fifty patients who underwent hysterectomy because of benign uterine diseases in Huainan Maternal and Child Health Care Hospital from January 2019 to December 2020 were included in this study. They were randomly assigned to undergo either total laparoscopic hysterectomy (TLH group, n = 25) or conventional open surgery (COS group, n = 25). Amount of blood loss, operative time, postoperative time to first anal exhaust, intraoperative and postoperative complications, length of hospital stay were compared between the TLH and COS groups. Results:Operative time, postoperative time to first anal exhaust, length of hospital stay in the TLH group were (98.2 ± 19.3) minutes, (19.7 ± 3.9) minutes, and (9.2 ± 2.2) days, respectively, which were significantly shorter than those in the COS group [(125.0 ± 44.5) minutes, (44.9 ± 6.0) minutes and (10.9 ± 2.8) days, t = 2.757, 17.369 and 2.394, all P < 0.05]. The amount of blood loss in the TLH group was significantly less than that in the COS group [(61.6 ± 3.9) mL vs. (266.0 ± 31.2) mL, t = 3.259, P < 0.05]. There were no significant differences in intraoperative and postoperative complications between the two groups (both P > 0.05). Conclusion:Total laparoscopic hysterectomy for the treatment of benign uterine diseases has advantages including minimal invasion, rapid postoperative recovery, and controllable operation difficulty.
