Kruschinski Daniel, Homburg Shirli, Wöckel Achim, Kapur Anupam, Reich Harry
Institute for Endoscopic Gynecology, EndoGyn, Seligenstadt, Germany.
Surg Technol Int. 2004;13:147-56.
In this study, laparoscopic hysterectomy was done with a special lift system that elevates the abdominal wall without carbon dioxide (CO2) insufflation. During this procedure, bipolar diathermy scissors also were used, which disconnected the uterus from its vessels and ligaments. The uterus was then removed through the vagina. In 403 cases, variables including operation time, complication rate, blood loss, postoperative pain, hospital stay, vaginal discharge, and convalescence time were examined. Compared with other laparoscopic methods [laparoscopic-assisted vaginal hysterectomy (LAVH), supracervical hysterectomy, and total laparoscopic hysterectomy], all those examined showed better results. Further advantages of the gasless Lift-laparoscopic total hysterectomy are lower costs and an effective "learning curve." Use of this method routinely could decrease the number of conventional-surgical hysterectomies that result in additional complications.
在本研究中，腹腔镜子宫切除术采用了一种特殊的提升系统，该系统无需二氧化碳（CO₂）气腹即可提升腹壁。在此过程中，还使用了双极电凝剪刀，将子宫与其血管和韧带分离。然后通过阴道取出子宫。在403例病例中，对包括手术时间、并发症发生率、失血量、术后疼痛、住院时间、阴道分泌物及恢复期等变量进行了检查。与其他腹腔镜手术方法[腹腔镜辅助阴道子宫切除术（LAVH）、次全子宫切除术和全腹腔镜子宫切除术]相比，所有检查结果均显示出更好的效果。免气腹提升式腹腔镜全子宫切除术的进一步优势在于成本较低以及有效的“学习曲线”。常规使用该方法可减少导致额外并发症的传统手术子宫切除术的数量。
