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经腹腔镜单孔手术行次全子宫切除术

Supracervical hysterectomy by laparoendoscopic single site surgery.

作者信息

Estrade Jean Philippe, Crochet Patrice, Aumiphin Julia, Gurriet Brice, Marcelli Maxime, Agostini Aubert

机构信息

Department of Obstetrics and Gynaecology, Bouchard Clinic, 13005, Marseille, France.

出版信息

Arch Gynecol Obstet. 2014 Dec;290(6):1169-72. doi: 10.1007/s00404-014-3360-z. Epub 2014 Jul 11.

DOI:10.1007/s00404-014-3360-z
PMID:25012604
Abstract

OBJECTIVE

To evaluate the feasibility of laparoscopic supracervical hysterectomy (LSH) by single port access (SPA) with transcervical morcellation.

STUDY DESIGN

Observational study conducted between September 2010 and March 2012 in two departments of Gynaecology. Forty women who required hysterectomy underwent LSH by SPA with transcervical morcellation.

RESULTS

LSH by SPA with transcervical morcellation was completed successfully in 37/40 (93.5 %) patients. Mean operating time was 128 (±55) min and mean hospital stay was 3.5 (±1) days. The mean of uterus weight was 310 (±214) g. The mean estimated blood loss was 250 (±110) ml. Four women (10 %) required a second surgical intervention including two cases of endocervical bleeding.

CONCLUSION

LSH by SPA with transcervical morcellation is a feasible procedure.

摘要

目的

评估经宫颈粉碎术单孔腹腔镜次全子宫切除术(LSH)的可行性。

研究设计

2010年9月至2012年3月在两个妇科科室进行的观察性研究。40例需要子宫切除术的女性接受了经宫颈粉碎术单孔腹腔镜次全子宫切除术。

结果

40例患者中有37例(93.5%)成功完成了经宫颈粉碎术单孔腹腔镜次全子宫切除术。平均手术时间为128(±55)分钟,平均住院时间为3.5(±1)天。子宫平均重量为310(±214)克。估计平均失血量为250(±110)毫升。4名女性(10%)需要二次手术干预,其中2例为宫颈管出血。

结论

经宫颈粉碎术单孔腹腔镜次全子宫切除术是一种可行的手术方法。

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