Chapron C, Aubert V, Dubuisson J B
Service de chirurgie gynécologique, Clinique Universitaire Baudelocque, CHU Cochin Port-Royal, Paris.
Contracept Fertil Sex. 1995 Nov;23(11):688-93.
The majority of the hysterectomies are performed by laparotomy. With laparoscopic surgery it will be possible to perform only 10 to 20 per cent of the hysterectomies by the abdominal route. Even if laparoscopic hysterectomy is a feasible technique, all the hysterectomies should not be performed by the endoscopic route. Laparoscopic surgery is in no case an alternative to vaginal surgery. Laparoscopic surgery is not indicated for hysterectomy if the operation is feasible quickly and under good conditions via the vaginal route. Laparoscopic surgery is only indicated when vaginal surgery is difficult and/or contra-indicated. In these situations, laparoscopic surgery can be performed according two different modalities: laparoscopically assisted vaginal hysterectomy and total hysterectomy completely performed by laparoscopy.
大多数子宫切除术是通过剖腹手术进行的。采用腹腔镜手术时，经腹途径进行的子宫切除术仅占10%至20%。即使腹腔镜子宫切除术是一种可行的技术，也不应全部通过内镜途径进行所有子宫切除术。腹腔镜手术绝不是阴道手术的替代方法。如果经阴道途径能迅速且在良好条件下完成手术，腹腔镜手术不适用于子宫切除术。仅在阴道手术困难和/或有禁忌证时才考虑腹腔镜手术。在这些情况下，腹腔镜手术可按两种不同方式进行：腹腔镜辅助阴道子宫切除术和完全通过腹腔镜进行的全子宫切除术。
