腹腔镜辅助阴式子宫切除术的并发症，1996年捷克共和国的一项调查。

Complications of laparoscopic-assisted vaginal hysterectomy, a 1996 survey of the Czech republic.

作者信息

Novotny Z, Rojikoval V

机构信息

Department of Gynecology, Computer Laboratory, Charles University, Faculty of Medicine, Plzen, Czech Republic.

出版信息

J Am Assoc Gynecol Laparosc. 1999 Nov;6(4):459-62. doi: 10.1016/s1074-3804(99)80011-5.

DOI:10.1016/s1074-3804(99)80011-5

PMID:10548705

Abstract

STUDY OBJECTIVE

To survey laparoscopic hysterectomies performed in the Czech Republic.

DESIGN

(Canadian Task Force classification II-3). Setting. Czech Republic.

SUBJECTS

One hundred forty-six gynecology departments.

INTERVENTIONS

The 1995 AAGL survey of laparoscopic-assisted vaginal hysterectomy (LAVH) in the United States was translated into Czech and sent to 146 clinics performing LAVH.

MEASUREMENTS AND MAIN RESULTS

Of the 146 clinics, 34% responded with a total of 733 procedures for analysis. Compared with the United States, complication rates were similar except for two that were more frequent in the Czech Republic: conversion to laparotomy and return to the operating room because of bleeding. These complications should be reduced as more experience is gained.

CONCLUSION

It appears that LAVH is replacing abdominal hysterectomy more than vaginal hysterectomy, a trend that should mean less discomfort and shorter hospital stay for patients.

摘要