Prinsen A K, Vierhout M E
Ikazia Ziekenhuis, afd. Gynaecologie, Rotterdam.
Ned Tijdschr Geneeskd. 1998 Aug 15;142(33):1873-6.
Evaluation of experience with laparoscopy-assisted vaginal hysterectomy (LAVH).
Retrospective review.
Dept. of Gynaecology, Ikazia Hospital, Rotterdam, the Netherlands.
Of 84 patients undergoing a LAVH instead of an abdominal hysterectomy in the period 1993-1997, data on indications for surgery, hospital stay and complications were analysed from the medical records.
Mean age was 45 years (range: 30-62). The most frequent indication was hypermenorrhoea (75; 89%). The mean duration of the operation was 87 min (range: 45-130). There was one conversion to laparotomy. Three times a major complication was seen: twice a bladder injury and once a major haemorrhage for which laparotomy was performed. Mean hospital stay was 6 days, in accordance with protocol.
LAVH offers a safe technique to convert some of the abdominal hysterectomies into vaginal ones. The higher costs of disposable equipment and increased operation time must be overcome by a shorter time in hospital and shorter convalescence time.
评估腹腔镜辅助阴式子宫切除术（LAVH）的经验。
回顾性研究。
荷兰鹿特丹伊卡西亚医院妇科。
分析1993年至1997年期间84例行LAVH而非腹式子宫切除术患者的手术指征、住院时间及并发症等病历资料。
平均年龄45岁（范围：30 - 62岁）。最常见的手术指征是月经过多（75例；89%）。平均手术时间为87分钟（范围：45 - 130分钟）。有1例转为开腹手术。出现3次严重并发症：2次膀胱损伤，1次大出血并行开腹手术。平均住院时间为6天，符合方案。
LAVH为将部分腹式子宫切除术转为阴式手术提供了一种安全的技术。一次性设备成本较高和手术时间增加的问题必须通过缩短住院时间和缩短康复时间来克服。
