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腹腔镜下子宫颈上切除术联合双侧输卵管切除术——为何不可?

Laparoscopic supracervical hysterectomy with concomitant bilateral salpingectomy--why not?

机构信息

Department of Obstetrics and Gynecology, University Medical Center Mannheim, University of Heidelberg, Mannheim, Germany.

出版信息

Anticancer Res. 2013 Jun;33(6):2771-4.

PMID:23749939
Abstract

AIM

The aim of this investigation was to analyze the feasibility and postoperative outcome of laparoscopic supracervical hysterectomy (LASH) with and without bilateral salpingectomy.

PATIENTS AND METHODS

Between February and October 2012, a total of 25 patients were prospectively enrolled to undergo LASH with bilateral salpingectomy. A retrospective cohort of 25 matched patients who underwent LASH without bilateral salpingectomy at our Institution, performed by the same surgeon, served as the control collective.

RESULTS

Comparing both collectives, there were no statistically significant differences concerning overall hospital stay, duration of surgery and blood loss.

CONCLUSION

LASH with bilateral salpingectomy is a fast and safe procedure.

摘要

目的

本研究旨在分析腹腔镜子宫次全切除术(LASH)联合双侧输卵管切除术的可行性和术后结果。

患者与方法

2012 年 2 月至 10 月,共有 25 例患者前瞻性入组行 LASH 联合双侧输卵管切除术。本机构的另一个回顾性队列由 25 例匹配患者组成,这些患者由同一位外科医生行 LASH 不联合双侧输卵管切除术,作为对照组。

结果

比较两个队列,总住院时间、手术时间和出血量无统计学差异。

结论

LASH 联合双侧输卵管切除术是一种快速且安全的手术。

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引用本文的文献

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Facts Views Vis Obgyn. 2019 Jun;11(2):177-187.
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Hysterectomy with opportunistic salpingectomy versus hysterectomy alone.全子宫切除术加选择性输卵管切除术与单纯全子宫切除术的比较。
Cochrane Database Syst Rev. 2019 Aug 28;8(8):CD012858. doi: 10.1002/14651858.CD012858.pub2.
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Effects of hysterectomy with simultaneous bilateral salpingectomy on the subsequent pelvic mass.
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J Ovarian Res. 2019 Mar 27;12(1):27. doi: 10.1186/s13048-019-0504-6.
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Thirteen Years of Experience with Opportunistic Bilateral Salpingectomy During TLH in Low-Risk Premenopausal Women.低风险绝经前女性行全腹腔镜子宫切除术时进行双侧输卵管切除的13年经验
J Obstet Gynaecol India. 2018 Aug;68(4):314-319. doi: 10.1007/s13224-018-1131-7. Epub 2018 May 16.