Lyons T L
Southeastern Institute for Endoscopic and Laser Surgery, Atlanta, Georgia.
J Reprod Med. 1993 Oct;38(10):763-7.
Laparoscopic applications in hysterectomy promise to be a factor in decreasing both economic and medical morbidity. However, with the need for both advanced laparoscopic skills and good vaginal surgical techniques, the meaningful conversion rate (total abdominal hysterectomy to laparoscopically assisted vaginal hysterectomy) appears to be low. A less morbid approach may be subtotal hysterectomy, in appropriate candidates, particularly if this procedure is readily accomplished by an increased number of physicians. A comparison of outcomes in 50 laparoscopically assisted vaginal hysterectomy patients versus 50 laparoscopic supracervical hysterectomy patients was made, demonstrating that the subtotal procedure was significantly less morbid.
腹腔镜技术在子宫切除术中的应用有望成为降低经济成本和医疗发病率的一个因素。然而，由于需要先进的腹腔镜技术和良好的阴道手术技巧，有意义的转换率（从全腹子宫切除术转换为腹腔镜辅助阴道子宫切除术）似乎较低。对于合适的患者，一种创伤较小的方法可能是次全子宫切除术，特别是如果越来越多的医生能够轻松完成该手术的话。对50例腹腔镜辅助阴道子宫切除术患者和50例腹腔镜次全子宫切除术患者的结果进行了比较，结果表明次全子宫切除术的创伤明显较小。
