Wang C J, Yen C F, Lee C L, Soong Y K
Division of Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center and Chang Gung University College of Medicine, Kwei-Shan, Tao-Yuan, Taiwan.
J Reprod Med. 2001 Jun;46(6):573-6.
To evaluate the clinical possibility of using a microlaparoscope in laparoscopically assisted vaginal hysterectomy.
Twenty-five women with different indications for hysterectomy and a uterine size < 14 weeks' gestation underwent laparoscopically assisted vaginal hysterectomy using a microlaparoscope and 2-mm instruments.
Microlaparoscopic procedures included coagulation and separation of infundibulopelvic or uteroovarian round ligaments, vesico-uterine-visceral peritoneal fold dissection, and anterior and posterior colpotomy. The mean operative time, blood loss and length of hospital stay were 84.40 +/- 16.85 minutes, 262.00 +/- 112.99 mL and 3.08 +/- 0.64 days, respectively. No patients developed serious complications, but there were two minor ones.
Microlaparoscopy appears to be an efficacious alternative treatment option in well-selected patients undergoing laparoscopically assisted vaginal hysterectomy.
评估在腹腔镜辅助阴式子宫切除术中使用微型腹腔镜的临床可行性。
25例因不同指征需行子宫切除术且子宫大小<14周妊娠的女性，采用微型腹腔镜及2毫米器械进行腹腔镜辅助阴式子宫切除术。
微型腹腔镜手术包括凝固和分离漏斗骨盆韧带或子宫卵巢圆韧带、膀胱-子宫-内脏腹膜皱襞分离以及前后阴道切开术。平均手术时间、失血量和住院时间分别为84.40±16.85分钟、262.00±112.99毫升和3.08±0.64天。无患者发生严重并发症，但有2例轻微并发症。
对于精心挑选的接受腹腔镜辅助阴式子宫切除术的患者，微型腹腔镜似乎是一种有效的替代治疗选择。
