Ortiz Fred Morgan, Zepeda Marco Antonio López, García Enrique Elorriaga, Pineda Juan Manuel Soto, Rico Humberto B Lelevier
Departamento de Ginecología y Obstetricia, Coordinación Universitaria del Hospital Civil de Culiacán, Universidad Autónoma de Sinaloa, Culiacán, Sinaloa, México.
Ginecol Obstet Mex. 2008 Sep;76(9):520-5.
Laparoscopic hysterectomy is a frequent non-obstetrical surgical technique. Its main benefits are less hospital stay and complications, and better surgical results.
To describe complications and clinical evolution of patients underwent to total laparoscopic hysterectomy.
Retrospective study. We review files of 87 patients with total laparoscopic hysterectomy since 2003 to 2006. General characteristics, indications, anesthetic technique, pneumoperitoneum means, trans- and post-operatory complications, procedure length, uterine size and weight, and conversion rate were examined.
Average length of the procedure was 123.01 minutes, uterine size: 14.54 cm, uterine weight: 387 g (DE: 57.43). Trans-operatory bleeding was 151.01 mL, and hospital stay was 19.45 h (DE: 3.21). Trans-operatory complications were: bladder (1.14%), ureter (1.14%), small bowel (1.14%) and epigastric vessels (1.14%) injuries. Three patients had post-operatory complications: fever syndrome (3.4%) and sacral region burn injury (1.14%). Conversion rate to abdominal hysterectomy was 2.29%.
Total laparoscopic hysterectomy is a feasible and safe procedure with complications rate similar to that reported in literature, and it in an option for candidates to abdominal hysterectomy.
腹腔镜子宫切除术是一种常见的非产科手术技术。其主要优点是住院时间短、并发症少，手术效果更好。
描述接受全腹腔镜子宫切除术患者的并发症及临床进展。
回顾性研究。我们查阅了2003年至2006年期间87例行全腹腔镜子宫切除术患者的病历。检查了一般特征、适应证、麻醉技术、气腹方法、术中及术后并发症、手术时长、子宫大小和重量以及中转率。
手术平均时长为123.01分钟，子宫大小：14.54厘米，子宫重量：387克（标准差：57.43）。术中出血151.01毫升，住院时间为19.45小时（标准差：3.21）。术中并发症有：膀胱损伤（1.14%）、输尿管损伤（1.14%）、小肠损伤（1.14%）和上腹血管损伤（1.14%）。3例患者有术后并发症：发热综合征（3.4%）和骶骨区域烧伤（1.14%）。中转开腹子宫切除术的比率为2.29%。
全腹腔镜子宫切除术是一种可行且安全的手术，并发症发生率与文献报道相似，是适合开腹子宫切除术候选者选择的一种术式。
