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首页> 外文期刊>Journal of minimally invasive gynecology >Total laparoscopic hysterectomy in cases of very large uteri: a retrospective comparative study.
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Total laparoscopic hysterectomy in cases of very large uteri: a retrospective comparative study.

机译：子宫非常大的病例行全腹腔镜子宫切除术：一项回顾性比较研究。

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摘要

In this review, we assessed the feasibility of total laparoscopic hysterectomy (TLH) in cases of very large uteri weighting more than 500 grams. We compared surgical outcomes and short term follow-up in 149 patients with the uterus weighing less than 350 g (group A: 40-350 g) and 100 patients with the uterus weighing more than 500 g (group B: 500-1550 g). We discovered no statistical difference between the 2 groups in terms of intraoperative complications (group A: 0%; group B: 2%) and postoperative stay (group A: 3.05 +/- 1.89 days; group B: 3.2 +/- 1.28 days). There were statistically significant differences between the 2 groups in terms of operative time (group A: 101.3 +/- 34.3 min; group B: 149.1 +/- 57.2 min.; p <.0001) and postoperative hospital stay length (group A: 2.8 +/- 0.7 days; group B: 3.5 +/- 1.7 days; p <.0001). No major complications occurred in either group. Postoperative minor complications were more frequent in group B (group A: 8.7%; group B: 18%; p = .03). Median time to well-being was comparable in both groups. In conclusion, TLH is a feasible surgical technique also in cases of very large uteri. An increase in operative time, intraoperative blood loss, hospital stay length, and postoperative minor complications can be expected as the uterine weight increases.
机译：在这篇综述中，我们评估了子宫超重子宫超过500克的情况下全腹腔镜子宫切除术（TLH）的可行性。我们比较了149例子宫重量小于350 g的患者（A组：40-350 g）和100例子宫重量大于500 g的患者（B组：500-1550 g）的手术结果和短期随访。我们发现两组在术中并发症（A组：0％; B组：2％）和术后住院时间（A组：3.05 +/- 1.89天; B组：3.2 +/- 1.28天）方面无统计学差异。 ）。两组的手术时间（A组：101.3 +/- 34.3分钟; B组：149.1 +/- 57.2分钟; p <.0001）和术后住院时间（A组： 2.8 +/- 0.7天; B组：3.5 +/- 1.7天; p <.0001）。两组均无重大并发症发生。 B组术后轻微并发症的发生率更高（A组：8.7％; B组：18％; p = .03）。两组的中位幸福时间相当。总之，TLH在子宫很大的情况下也是一种可行的手术技术。随着子宫重量的增加，手术时间，术中失血量，住院时间和术后轻微并发症的发生可能会增加。

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