Krentel H, De Wilde R L
Clinic of Obstetrics and Gynecology, St. Anna Hospital, Herne, Germany.
Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University of Oldenburg, Germany.
Best Pract Res Clin Obstet Gynaecol. 2016 Aug;35:44-50. doi: 10.1016/j.bpobgyn.2015.11.001. Epub 2015 Nov 14.
Laparoscopic supracervical hysterectomy (LASH) is an alternative minimally invasive approach to total laparoscopic hysterectomy or laparoscopically assisted vaginal hysterectomy. It is a safe and effective treatment of bleeding disorders and dysmenorrhoea in uterine myomatosis and/or adenomyosis. LASH has a low rate of major and minor complications, and patient satisfaction is very high. In order to extract the transected tissue from the abdomen, one essential condition for LASH is the intra-abdominal disruption of the uterine tissue by transabdominal, transcervical or transvaginal morcellation. In the following, complications in LASH, especially those related to electronic power morcellation, are described evaluating the recent literature.
腹腔镜子宫次全切除术(LASH)是全腹腔镜子宫切除术或腹腔镜辅助阴道子宫切除术之外的另一种微创方法。它是治疗子宫肌瘤和/或子宫腺肌病引起的出血性疾病和痛经的一种安全有效的方法。LASH的主要和次要并发症发生率较低,患者满意度很高。为了从腹部取出切断的组织,LASH的一个基本条件是通过经腹、经宫颈或经阴道粉碎术在腹腔内破坏子宫组织。以下将结合近期文献描述LASH的并发症,尤其是与电动粉碎术相关的并发症。