Kim DH, Lee ES, Bae DH
Department of Obstetrics and Gynecology, Chung-Ang University Hospital, College of Medicine, 82-1 2Ka, Pil-Dong, Chung-Gu, Seoul, Korea 100-272.
J Am Assoc Gynecol Laparosc. 1996 Aug;3(4, Supplement):S21-2. doi: 10.1016/s1074-3804(96)80205-2.
We compared 223 patients, 91 undergoing laparoscopic-assisted vaginal hysterectomy (LAVH), 82 undergoing classic intrafascial Semm hysterectomy (CISH), and 50 undergoing total laparoscopic hysterectomy (TLH) between August 1993 and August 1995. The groups were comparable in age, parity, weight, and previous abdominal surgeries. The mean estimated blood loss associated with LAVH was 1.6 times greater than that with CISH and 1.8 times greater than with TLH. The mean operating time was 174.1 minutes for CISH, 169.4 minutes for TLH, and 142.5 minutes for LAVH. The mean specimen weight was 195.4 g for CISH, 88.1 g for TLH, and 142.5 g for LAVH. The overall complication rates were 3.7%, 5.4%, and 7.7%, respectively, but no major complication occurred with CISH. We suggest that CISH is safer, more effective, and less damaging than the other procedures, and associated with lower morbidity in managing benign uterine disease.
我们比较了1993年8月至1995年8月期间的223例患者，其中91例行腹腔镜辅助阴式子宫切除术（LAVH），82例行经典筋膜内Semm子宫切除术（CISH），50例行全腹腔镜子宫切除术（TLH）。这些组在年龄、产次、体重和既往腹部手术方面具有可比性。与CISH相比，LAVH的平均估计失血量多1.6倍，与TLH相比多1.8倍。CISH的平均手术时间为174.1分钟，TLH为169.4分钟，LAVH为142.5分钟。CISH的平均标本重量为195.4 g，TLH为88.1 g，LAVH为142.5 g。总体并发症发生率分别为3.7%、5.4%和7.7%，但CISH未发生重大并发症。我们认为，与其他手术相比，CISH更安全、更有效、损伤更小，且在处理良性子宫疾病时发病率更低。
