Driessen Sara R C, Sandberg Evelien M, van den Haak Lukas, Jansen Frank Willem
Leids Universitair Medisch Centrum, afd. Gynaecologie, Leiden.
Ned Tijdschr Geneeskd. 2015;159:A9324.
Hysterectomy is still one of the most frequently performed gynaecological procedures. The use of the laparoscopic approach has increased over recent years and a shift in indication has been observed. However, not every clinic or gynaecologist is able to provide laparoscopic hysterectomy for more challenging patients. Therefore, referral to an expert centre is of the highest importance in order to offer the patient the least invasive approach to hysterectomy. The advantages of the laparoscopic approach have become more evident over recent years. The widespread introduction of minimally invasive surgery means that surgeons are encountering new challenges, such as the rapid introduction of new instruments, the absolute increased incidence of rare complications and the provision of post-operative counselling on recovery. Maintaining knowledge of these matters is essential in order to secure the quality of care.
子宫切除术仍然是最常施行的妇科手术之一。近年来，腹腔镜手术方法的应用有所增加，并且观察到了手术指征的转变。然而，并非每个诊所或妇科医生都能够为更具挑战性的患者提供腹腔镜子宫切除术。因此，转诊至专家中心对于为患者提供侵入性最小的子宫切除手术方法至关重要。近年来，腹腔镜手术方法的优势变得更加明显。微创手术的广泛应用意味着外科医生正面临新的挑战，例如新器械的迅速引入、罕见并发症的绝对发生率增加以及术后康复咨询的提供。了解这些问题对于确保医疗质量至关重要。
