Short- and long-term clinical results of laparoscopic-assisted vaginal hysterectomy and total abdominal hysterectomy.
作者信息
Shen Chung-Chang, Wu Ming-Ping, Lu Cheng-Hsien, Huang Eng-Yen, Chang Hsieh-Wen, Huang Fu-Jen, Hsu Te-Yao, Chang Shiuh-Young
机构信息
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 4F-4, 123, Ta-Pei Road, Niao Sung Hsiang, Kaohsiung, Taiwan.
出版信息
J Am Assoc Gynecol Laparosc. 2003 Feb;10(1):49-54. doi: 10.1016/s1074-3804(05)60234-4.
STUDY OBJECTIVE
To compare short- and long-term clinical results of laparoscopic-assisted vaginal hysterectomy (LAVH) and total abdominal hysterectomy (TAH).
DESIGN
Retrospective cohort study (Canadian Task Force classification II-1).
SETTING
University-affiliated hospital.
PATIENTS
One hundred fifty women who underwent LAVH and 146 who underwent TAH.
INTERVENTION
Hysterectomy.
MEASUREMENTS AND MAIN RESULTS
Blood loss during surgery, narcotic analgesic consumption, duration of hospital stay, and convalescence time were significantly higher for women who underwent TAH than for those who underwent LAVH (p <0.05). Operating time was significantly longer for LAVH than for TAH (152.2 +/- 32.4 vs 96.5 +/- 29.6 min, p = 0.014). Eight-year follow-up showed no statistically significant differences in vaginal vault prolapse, cystocele, rectocele, enterocele, postcoital spotting, and cuff granulation between procedures (p >0.05).
CONCLUSIONS
Although short-term clinical results revealed some statistically significant differences between LAVH and TAH, long-term follow-up recorded similar frequencies of surgical sequelae.
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