Machac J, Hegerová I
Gynek.-porod. oddĕlení nemocnice Boskovice.
Ceska Gynekol. 1996 Oct;61(5):287-90.
The authors report their experience with 132 patients operated in the Boskovice hospital in the last two years. Their method-supracervical laparoscopic hysterectomy with removal of the cervical transformation zone and endocervix. All procedures were successfully completed laparoscopically. The authors analysed their cases according to the intraoperative, immediate postoperative and late postoperative complications. Average operating time is compatible with that of conventional total abdominal or vaginal hysterectomy and LAVH. The authors evaluated blood loss, hospital stay, recovery time, pain and cosmetic considerations. This method may be sufficient for cervical and endometrial cancer prophylaxis, because of thorough histologic examination and interpretation of morcellated cervical-cylinders and uterine body tissue.
作者报告了过去两年在波斯科维采医院为132例患者实施手术的经验。他们的方法是宫颈上腹腔镜子宫切除术,同时切除宫颈转化区和宫颈内膜。所有手术均通过腹腔镜成功完成。作者根据术中、术后即刻和术后晚期并发症对病例进行了分析。平均手术时间与传统经腹全子宫切除术、经阴道子宫切除术及腹腔镜辅助阴式子宫切除术相当。作者评估了失血量、住院时间、恢复时间、疼痛情况及美容效果。由于对切碎的宫颈管和子宫体组织进行了全面的组织学检查和分析,该方法可能足以预防宫颈癌和子宫内膜癌。