Shushan A, Mohamed H, Magos A L
University Department of Obstetrics and Gynaecology, Royal Free Hospital, London, UK.
Hum Reprod. 1999 Jan;14(1):39-43. doi: 10.1093/humrep/14.1.39.
The purpose of this study was to assess the operating time of the most common gynaecological laparoscopic procedures. We analysed retrospectively 1000 consecutive operative laparoscopies on a procedure-by-procedure basis. Diagnostic laparoscopy and laparoscopic sterilization were specifically excluded from the analysis. The various laparoscopic procedures were grouped and analysed under six major categories. The average operating time for all cases was 76.9 min (range 10-400). In 38 cases (3.8%) the laparoscopic procedure was converted to laparotomy. The average operating time for treating ectopic pregnancy and tubal disease was approximately 60 min (range 13-240). Surgery for endometriosis and ovarian cysts averaged 72 min (range 10-240). Laparoscopic myomectomy and hysterectomy averaged 113 and 131 min respectively (range 25-400). Our results show that while the operating time for most operative laparoscopies is less than 75 min, the range of operating times is great. The relative lack of predictability in procedure times means that the efficient utilization of fixed theatre sessions is difficult.
本研究的目的是评估最常见的妇科腹腔镜手术的手术时间。我们对1000例连续的手术腹腔镜检查按手术逐个进行了回顾性分析。诊断性腹腔镜检查和腹腔镜绝育术被明确排除在分析之外。各种腹腔镜手术被分为六大类并进行分析。所有病例的平均手术时间为76.9分钟（范围为10 - 400分钟）。38例（3.8%）腹腔镜手术转为开腹手术。治疗异位妊娠和输卵管疾病的平均手术时间约为60分钟（范围为13 - 240分钟）。子宫内膜异位症和卵巢囊肿手术平均为72分钟（范围为10 - 240分钟）。腹腔镜子宫肌瘤切除术和子宫切除术的平均时间分别为113分钟和131分钟（范围为25 - 400分钟）。我们的结果表明，虽然大多数手术腹腔镜检查的手术时间少于75分钟，但手术时间范围很大。手术时间相对缺乏可预测性意味着难以有效利用固定的手术室时段。
