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首页> 外文期刊>European Journal of Obstetrics, Gynecology and Reproductive Biology: An International Journal >A randomized, controlled study comparing minilaparotomy versus isobaric gasless laparoscopic assisted minilaparotomy myomectomy for removal of large uterine myomas: short-term outcomes.
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A randomized, controlled study comparing minilaparotomy versus isobaric gasless laparoscopic assisted minilaparotomy myomectomy for removal of large uterine myomas: short-term outcomes.

机译：一项随机对照研究，比较了小切口开腹术与等压无气腹腔镜辅助的小切口开腹子宫肌瘤切除术切除大子宫肌瘤的近期效果。

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OBJECTIVE: To compare the operative data and early postoperative outcomes for myomectomy performed by minilaparotomy (MLT) with isobaric laparoscopic assisted minilaparotomy myomectomy (LM) in a series of patients with large uterine myomas (>or=5 cm) randomly assigned to each surgical technique. STUDY DESIGN: 80 patients were randomized blindly using a computer randomization list to MLT (n=40) or LM (n=40). RESULTS: The mean (+/-SD) operating time was significantly shorter after LM than after MLT (75.50+/-25.70 vs 96.00+/-26.20 min; p<0.01). Intraoperative blood loss was less with LM (72.15+/-44.00 vs 96.21+/-38.50 ml; p<0.05), and DeltaHb was less with LM (1.21+/-0.55 vs 1.64+/-0.57; p<0.05). No intraoperative complications occurred, and no case was returned to the theater in either group. No conversion to standard laparotomy was necessary. Hospitalization was shorter after LM than after MLT (4.30+/-1.20 vs 6.90+/-2.70 days; p<0.01). Postoperative ileus was shorter after LM than after MLT (26.20+/-4.20 vs 40.50+/-4.90h; p<0.01). The mean VAS score at 12h for abdominal pain was 5.5+/-0.7 in the LM group and 5.2+/-0.8 in MLT group (p<0.05), whereas it was analogous in the two groups at 24h, and at 48h was 3.4+/-1.1 in the LM group and 4.2+/-1.1 in the MLT group (p<0.05), and no difference between two groups was detected in the overall mean (at 12, 24 and 48h). CONCLUSIONS: Several surgical and immediate postoperative outcomes were significantly better in the LM group than in the MLT group.
机译：目的：比较随机分配给每种手术技术的一系列大子宫肌瘤（> == 5 cm）患者的经小切口开腹术（MLT）和等压腹腔镜辅助小切口开腹术子宫肌瘤切除术（LM）进行的子宫肌瘤切除术的手术数据和术后早期结果。研究设计：使用计算机随机对照表将80例患者随机分为MLT（n = 40）或LM（n = 40）。结果：LM后的平均（+/- SD）操作时间显着短于MLT后（75.50 +/- 25.70 vs 96.00 +/- 26.20 min; p <0.01）。 LM术中出血量较少（72.15 +/- 44.00 vs 96.21 +/- 38.50 ml; p <0.05），而DeltaHb LM较少（1.21 +/- 0.55 vs 1.64 +/- 0.57; p <0.05）。两组均未发生术中并发症，也没有病例返回手术室。无需转换为标准的剖腹手术。 LM后的住院时间比MLT后短（4.30 +/- 1.20 vs 6.90 +/- 2.70天; p <0.01）。 LM后的术后肠梗阻比MLT后短（26.20 +/- 4.20 vs 40.50 +/- 4.90h; p <0.01）。 LM组在12h时腹痛的平均VAS评分为5.5 +/- 0.7，而MLT组为5.2 +/- 0.8（p <0.05），而两组在24h时相似，在48h时为3.4 LM组为+/- 1.1，而MLT组为4.2 +/- 1.1（p <0.05），两组的总平均值（在12、24和48h时）均无差异。结论：LM组的几项手术和术后立即转归明显优于MLT组。

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