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首页> 外文期刊>Journal of laparoendoscopic and advanced surgical techniques, Part A >Comparison of laparoendoscopic single-site hysterectomies: Laparoscopic hysterectomy with some vaginal component versus laparoscopically assisted vaginal hysterectomy
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Comparison of laparoendoscopic single-site hysterectomies: Laparoscopic hysterectomy with some vaginal component versus laparoscopically assisted vaginal hysterectomy

机译：腹腔镜下单部位子宫切除术的比较：腹腔镜子宫切除术结合一些阴道成分与腹腔镜辅助阴道子宫切除术

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摘要

Background: To compare the clinical results of two types of laparoendoscopic single-site surgery (LESS) laparoscopic hysterectomy (LH): LH with some vaginal component [LH(a)] versus laparoscopically assisted vaginal hysterectomy (LAVH). Subjects and Methods: This is a retrospective comparative study. A single surgeon performed 50 LESS-LAVH procedures consecutively between March 2009 and October 2009 and 50 LESS-LH(a) procedures consecutively between January 2011 and July 2011. Results: Most LESS-LH(a)s/LAVH procedures were successful. Of 50 LESS-LH(a) procedures, 2 were converted to LESS-LAVH. Of 50 LESS-LAVHs, 1 required additional ports. The LESS-LH(a) group had a shorter operative time and less postoperative pain compared with the LESS-LAVH group. Operative complications were not significantly different between the groups. Conclusions: LESS-LH(a) and LESS-LAVH are both feasible and safe methods, with similar surgical outcomes. In terms of operative time and postoperative pain, LESS-LH(a) is superior to LESS-LAVH.
机译：背景：为了比较两种类型的腹腔镜内窥镜单点手术（LESS）腹腔镜子宫切除术（LH）的临床结果：具有某些阴道成分[LH（a）]的LH与腹腔镜辅助阴道子宫切除术（LAVH）。受试者与方法：这是一项回顾性比较研究。从2009年3月至2009年10月，一名外科医生连续进行了50次LESS-LAVH手术，在2011年1月至2011年7月之间，连续进行了50次LESS-LH（a）手术。结果：大多数LESS-LH（a）s / LAVH手术均获得成功。在50个LESS-LH（a）程序中，有2个被转换为LESS-LAVH。在50个LESS-LAVH中，需要1个附加端口。与LESS-LAVH组相比，LESS-LH（a）组的手术时间更短，术后疼痛更少。两组之间的手术并发症无明显差异。结论：LESS-LH（a）和LESS-LAVH既可行又安全，手术效果相似。在手术时间和术后疼痛方面，LESS-LH（a）优于LESS-LAVH。

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