Doğan Durdağ Gülşen, Alemdaroğlu Songül, Aydın Şirin, Yüksel Şimşek Seda, Şimşek Erhan, Çelik Hüsnü
Department of Obstetrics and Gynecology, Başkent University, Adana Dr. Turgut Noyan Application and Research Hospital, Adana, Turkey
J Turk Ger Gynecol Assoc. 2024 Aug 29;25(3):144-151. doi: 10.4274/jtgga.galenos.2024.2023-9-12. Epub 2024 Aug 23.
Laparoscopic hysterectomy has become an increasingly used surgery in recent years. The aim of this study was to evaluate the clinical features and perioperative outcomes of patients who underwent laparoscopic hysterectomy for benign or malignant indications in a single center during a period of eight years.
Data of patients who underwent laparoscopic hysterectomy in the gynecological oncology department of a university hospital over a period of eight years was analyzed retrospectively. Two groups were formed based on being operated for benign or malignant indications. Demographic characteristics and perioperative data of these groups were evaluated.
A total of 1,515 patients underwent laparoscopic hysterectomy. The mean age of the patients was 52.0±9.8 years and mean body mass index (BMI) was 31.3±8.5 kg/m2. Of these, 1,219 had benign and 296 had malignant histopathology results. In the whole cohort, intraoperative complications were seen in 1.6% and postoperative complications in 3.5%. The patients in the malignant group were older, had a higher BMI and a higher comorbidity rate. The duration of operation and length of hospital stay were significantly longer in this group (p=0.0001 for all parameters). However, intraoperative and postoperative complication rates, rate of blood transfusion and amount of transfusion were similar between the two groups (p>0.05).
Laparoscopic hysterectomy can be performed with low complication rates in benign and malignant indications, regardless of the patient’s contributing factors. However, since experience is important, financial resources and personnel training processes should be supported.
近年来，腹腔镜子宫切除术的应用越来越广泛。本研究旨在评估在一个单一中心8年间因良性或恶性指征接受腹腔镜子宫切除术患者的临床特征和围手术期结局。
回顾性分析一所大学医院妇科肿瘤科室8年间接受腹腔镜子宫切除术患者的数据。根据手术指征为良性或恶性分为两组。评估这些组的人口统计学特征和围手术期数据。
共有1515例患者接受了腹腔镜子宫切除术。患者的平均年龄为52.0±9.8岁，平均体重指数（BMI）为31.3±8.5kg/m²。其中，1219例组织病理学结果为良性，296例为恶性。在整个队列中，术中并发症发生率为1.6%，术后并发症发生率为3.5%。恶性组患者年龄更大，BMI更高，合并症发生率更高。该组手术时间和住院时间明显更长（所有参数p=0.0001）。然而，两组之间的术中和术后并发症发生率、输血率和输血量相似（p>0.05）。
无论患者的相关因素如何，腹腔镜子宫切除术在良性和恶性指征下均可低并发症率进行。然而，由于经验很重要，应支持财政资源和人员培训进程。
