腹腔镜辅助下经阴道子宫肌瘤切除术

Laparoscopic-assisted vaginal myomectomy.

作者信息

Wang C J, Yen C F, Lee C L, Soong Y K

机构信息

Division of Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5 Fu-Hsin Street, Kwei-Shan Tao-Yuan, Taiwan.

出版信息

J Am Assoc Gynecol Laparosc. 2000 Nov;7(4):510-4. doi: 10.1016/s1074-3804(05)60364-7.

DOI:10.1016/s1074-3804(05)60364-7

PMID:11044502

Abstract

STUDY OBJECTIVE

To evaluate the safety and efficacy of combined laparoscopic and vaginal approach in dealing with uterine myomas.

DESIGN

Retrospective case study (Canadian Task Force classification II-2).

SETTING

Tertiary care major teaching hospital.

PATIENTS

Thirty-one women with symptomatic fundal and/or posterior wall uterine myomas.

INTERVENTION

Laparoscopic-assisted vaginal myomectomy performed by one of the authors from July 1996 to December 1998.

MEASUREMENTS AND MAIN RESULTS

Mean +/- SD operating time, blood loss, and length of hospital stay were 79.19+/-18.31 minutes, 150.00+/- 103.28 ml, and 3.10+/-0.75 days, respectively. No patients developed serious complications, and only two minor complications occurred.

CONCLUSION

After laparoscopic inspection and location of uterine myomas, dealing with posterior and fundal uterine myomas by the vaginal route makes hemostasis and uterine repair easier than by purely laparoscopic approach.

摘要