Schwartz R O
Department of Obstetrics and Gynecology, Medical College of Georgia, Atlanta.
J Reprod Med. 1994 Aug;39(8):625-30.
Twenty cases of laparoscopic supracervical hysterectomy performed by operative laparoscopy without vaginal assistance were retrospectively compared to 232 cases of laparoscopically assisted vaginal hysterectomy reported in the literature. The specimens were morcellated intraabdominally and removed through the umbilicus. This is the first reported series of this technique with intraabdominal morcellation, which emphasizes cosmetic considerations and remains within the confines of the umbilicus. The postoperative hospitalization time ranged from 3.75 to 22.2 hours. On the second postoperative day, 10% of the patients returned to work, and 15% were able to drive. Patients resumed normal activity in an average of 5.6 days after surgery. As compared to laparoscopically assisted vaginal hysterectomy, there was a decrease in morbidity, blood loss and recovery time. Prolonged anesthesia from the longer operating time was clinically insignificant in terms of the patients' recovery. By decreasing the disability from hysterectomy from six weeks to one, the procedure provided financial savings through work time gained.
对20例通过腹腔镜手术且无阴道辅助进行的腹腔镜子宫次全切除术病例进行回顾性分析，并与文献报道的232例腹腔镜辅助阴式子宫切除术病例进行比较。标本在腹腔内切碎，经脐部取出。这是首次报道的采用腹腔内切碎技术的系列病例，该技术强调美观因素且切口局限于脐部。术后住院时间为3.75至22.2小时。术后第二天，10%的患者恢复工作，15%的患者能够开车。患者术后平均5.6天恢复正常活动。与腹腔镜辅助阴式子宫切除术相比，发病率、失血量和恢复时间均有所降低。较长手术时间导致的麻醉时间延长，对患者恢复而言在临床上无显著影响。通过将子宫切除术后的残疾时间从六周缩短至一周，该手术通过节省工作时间带来了经济收益。
