Wittich A C, Desantis R A
Tripler Army Medical Center, Department of Obstetrics & Gynecology, HI 96859-5000.
Mil Med. 1994 Jun;159(6):429-32.
Over the past 5 years, laparoscopic assisted vaginal hysterectomy (LAVH) has progressed from an experimental procedure to an alternative operation when abdominal hysterectomy is indicated. During a 15-month period, 31 patients underwent LAVH at Tripler Army Medical Center for treatment of gynecologic conditions that traditionally required abdominal hysterectomy. The benefits of the procedure and the complications encountered during surgery are discussed. A comparison of our data with data presented in other reports in the literature is considered favorable. While the complication rate was 16%, there was no mortality or serious morbidity. With experience and proper training of gynecologic surgeons, LAVH is an alternative to abdominal hysterectomy in selected cases.
在过去5年中，腹腔镜辅助阴式子宫切除术（LAVH）已从一种实验性手术发展成为在需要行腹式子宫切除术时的一种替代手术。在15个月的时间里，31例患者在特里普勒陆军医疗中心接受了LAVH，以治疗传统上需要腹式子宫切除术的妇科疾病。本文讨论了该手术的益处以及手术过程中遇到的并发症。将我们的数据与文献中其他报告的数据进行比较，结果是令人满意的。虽然并发症发生率为16%，但无死亡病例或严重发病情况。随着妇科外科医生经验的积累和适当培训，LAVH在某些特定病例中可替代腹式子宫切除术。
