Nezhat F, Nezhat C H, Admon D, Gordon S, Nezhat C
Department of Obstetrics and Gynecology, Mercer University School of Medicine, Macon, Georgia.
J Am Coll Surg. 1995 Mar;180(3):307-16.
Before the appropriate use of laparoscopy in hysterectomy can be determined, it is necessary to evaluate the results, including complications. There must also be an accepted classification system to facilitate accurate comparison to total abdominal hysterectomy.
We retrospectively evaluated the charts of 361 women who underwent hysterectomy for various benign pathologic conditions. Intraoperative and postoperative complication rates for hysterectomy performed at operative laparoscopy were examined. The hysterectomies were classified as one of four types according to the number of steps performed laparoscopically. All women were candidates for total abdominal hysterectomy, but not vaginal hysterectomy.
The overall complication rate for hysterectomy performed at operative laparoscopy was 11.1 percent. Most complications were minor, including cystitis (1.66 percent), transient high fever (1.39 percent), abdominal wall ecchymosis (1.12 percent), and pneumonia and bronchitis (1.12 percent). There was no correlation between the type of laparoscopic hysterectomy performed and the complication rate.
Our rate of intraoperative and postoperative complications associated with laparoscopic hysterectomy compares favorably with published complication rates for vaginal and abdominal hysterectomy.
在确定腹腔镜在子宫切除术中的恰当应用之前，有必要评估其结果，包括并发症。还必须有一个公认的分类系统，以利于与全腹式子宫切除术进行准确比较。
我们回顾性评估了361例因各种良性病理状况接受子宫切除术的女性患者的病历。检查了手术腹腔镜子宫切除术的术中及术后并发症发生率。根据腹腔镜操作步骤的数量，将子宫切除术分为四种类型之一。所有女性均适合全腹式子宫切除术，但不适合经阴道子宫切除术。
手术腹腔镜子宫切除术的总体并发症发生率为11.1%。大多数并发症为轻微并发症，包括膀胱炎（1.66%）、短暂高热（1.39%）、腹壁瘀斑（1.12%）以及肺炎和支气管炎（1.12%）。所施行的腹腔镜子宫切除术类型与并发症发生率之间无相关性。
我们的腹腔镜子宫切除术的术中及术后并发症发生率与已公布的经阴道和腹式子宫切除术的并发症发生率相比具有优势。
