Møller C, Kehlet H, Ottesen B S
H:S Hvidovre Hospital, gynaekologisk obstetrisk afdeling.
Ugeskr Laeger. 1999 Aug 16;161(33):4620-4.
Approximately 6,000 hysterectomies are performed per year in Denmark. The major part of these are performed by laparotomy, although the use of laparoscopically assisted techniques is increasing. Laparoscopic surgery seems to lead to a reduction in the need for postoperative hospitalization and convalescence, which is confirmed in the few available randomised and to our knowledge all retrospective studies. The length of stay seems to be reduced from four to two days if the patient is hysterectomised by the laparoscopically assisted or vaginal techniques. The introduction of endoscopic techniques has caused a change in routines and recommendations, but not for women operated by the classical open procedures. In this article we question the relevance of comparing different types of operations given the fact that the routines and recommendations are different.
丹麦每年大约进行6000例子宫切除术。其中大部分是通过剖腹手术进行的，不过腹腔镜辅助技术的使用正在增加。腹腔镜手术似乎能减少术后住院和康复的需求，这在为数不多的随机对照研究以及我们所知的所有回顾性研究中都得到了证实。如果采用腹腔镜辅助或阴道技术为患者进行子宫切除术，住院时间似乎可以从四天减少到两天。内镜技术的引入改变了手术流程和建议，但对于接受传统开放手术的女性则没有改变。在本文中，鉴于手术流程和建议不同，我们对比较不同类型手术的相关性提出质疑。
