Tantchev L, Gortchev G, Tomov S, Dimitrov T, Tzvetkov Ch, Chinkova N, Lanev N, Lordanov A, Strateva D, Kirilova V, Dobrev P
Akush Ginekol (Sofiia). 2016;55(4):38-42.
The dissection of urinary bladder is a crucial phase of the laparoscopic operation of hysterectomy. The latter dissection may become even more difficult in the context of history of operative interventions as cesarean section or cervical conization, presence of cervical or isthmic myomatous nodes, as well as upon a bad operative technique. The obeying of some basic principles (knowledge of pelvic anatomy and topographic interrelations; considering of present risk factors; intraoperative screening for complications and their early treatment) results in the optimal performance of laparoscopic hysterectomy.
膀胱解剖是腹腔镜子宫切除术的关键阶段。在有剖宫产或宫颈锥切术等手术干预史、存在宫颈或峡部肌瘤结节以及手术技术不佳的情况下，后一种解剖可能会变得更加困难。遵循一些基本原则（了解盆腔解剖结构和地形学相互关系；考虑当前的危险因素；术中筛查并发症并进行早期治疗）可实现腹腔镜子宫切除术的最佳效果。
