Price J H, Nassief S A
Belfast City Hospital.
Ulster Med J. 1996 Nov;65(2):149-51.
We reviewed the charts of 36 women who had laparoscopic-assisted vaginal hysterectomies (LAVH) at Belfast City Hospital over a 3 year period. The average operating time was 105 minutes. However, patients had a shorter duration of hospitalization (< 4 days for 96% of patients) with rapid recuperation (3.4 weeks). Complications occurred in 7 patients. One patient developed a vesico-vaginal fistula which was diagnosed post operatively and successfully repaired 5 months later. Technical difficulty was reported in one patient because of significant adhesions and poor access due to obesity. She went on to develop a pelvic abscess which was drained. Patient satisfaction with the operation was high. LAVH is an effective operation in selected cases and in experienced hands the complication rate is low. In the future it may become a valid alternative to open abdominal hysterectomy.
我们回顾了在三年时间里于贝尔法斯特市医院接受腹腔镜辅助阴道子宫切除术（LAVH）的36名女性的病历。平均手术时间为105分钟。然而，患者住院时间较短（96%的患者住院时间少于4天），恢复较快（3.4周）。7名患者出现了并发症。一名患者术后诊断出膀胱阴道瘘，5个月后成功修复。有一名患者因粘连严重且肥胖导致手术入路困难，报告存在技术难题。她随后出现盆腔脓肿并进行了引流。患者对该手术的满意度较高。LAVH在特定病例中是一种有效的手术方式，在经验丰富的医生手中并发症发生率较低。未来它可能会成为开腹子宫切除术的一种有效替代方案。
