Clinic of Obstetrics and Gynecology, Kiel School of Gynecological Endoscopy, University Clinic Schleswig-Holstein, Kiel, Germany.
Minim Invasive Ther Allied Technol. 2022 Jan;31(1):13-23. doi: 10.1080/13645706.2020.1769675. Epub 2020 Jun 3.
Hysterectomy remains one of the most commonly performed gynecological procedures. The distinction between total and subtotal (supracervical) hysterectomy has many facets. Based on anatomical structures, a distinction is made between total and subtotal hysterectomy. In the present report, various factors affecting therapy decisions are examined individually and viewed in the context of the existing published literature. The surgical steps of total laparoscopic hysterectomy (TLH) and laparoscopic supracervical hysterectomy (LASH) are described didactically. Medical-ethical aspects of the increasingly complex balance between the scarcity of resources on the one hand, and growing demands on the other, form the basis of our medical decisions.
子宫切除术仍然是最常见的妇科手术之一。全子宫切除术和次全（经宫颈）子宫切除术之间有许多区别。根据解剖结构，将子宫切除术分为全子宫切除术和次全子宫切除术。在本报告中，我们分别检查了影响治疗决策的各种因素，并结合现有文献进行了讨论。我们还以教学的方式描述了全腹腔镜子宫切除术（TLH）和腹腔镜经宫颈子宫切除术（LASH）的手术步骤。一方面是资源的稀缺性，另一方面是需求的不断增长，在这种日益复杂的平衡中，医疗伦理问题是我们医疗决策的基础。
