Single-port laparoscopic hysterectomy for uteri greater than 500 grams
| Autor: | I-Hui Chen, Hung Shen, Pao-Ling Torng, Heng-Cheng Hsu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Operative Time Blood Loss Surgical Hysterectomy lcsh:Gynecology and obstetrics 03 medical and health sciences 0302 clinical medicine Port (medical) Laparoscopic parasitic diseases medicine Humans Laparoscopic supracervical hysterectomy lcsh:RG1-991 Aged Retrospective Studies 030219 obstetrics & reproductive medicine Supracervical business.industry Laparoscopic hysterectomy Uterus Obstetrics and Gynecology Organ Size Middle Aged Single surgeon Surgery Operative time Feasibility Studies Single-port Female Laparoscopy business Complication Body mass index |
| Zdroj: | Taiwanese Journal of Obstetrics & Gynecology, Vol 59, Iss 4, Pp 502-507 (2020) |
| ISSN: | 1028-4559 |
| Popis: | Objectives To study the operative outcomes of single-port laparoscopic hysterectomy in uteri greater than 500 g, using either laparoscopic assisted vaginal hysterectomy (LAVH) or laparoscopic supracervical hysterectomy (LSH). Materials and methods 78 patients were included in a single institute by a single surgeon from March, 2013 to January, 2018. Results The median uterine weight was 686.5 g. Larger uterine weight was correlated with longer operative time and greater estimated blood loss. Two types of operations were performed: LAVH (n = 55) or LSH (n = 23). There were no differences in operative time (150.2 ± 45.1 vs. 158.6 ± 82.1, P = 0.66) and estimated blood loss (365.8 ± 298.5 vs. 356.5 ± 46.6, ml, P = 0.94) between LAVH and LSH. However, patients in LAVH had more excess blood loss (>500 mL) compared with LSH (32.7% vs. 21.7%, P = 0.42). In the later study period, the operative time was shorter and complication rates were lower. Such differences were especially significant in the LAVH group. By multiple regression analysis, operative time was independently correlated with age, body mass index, estimated blood loss and uterine weight in LAVH. The correlation between operative time and uterine weight in LSH was attenuated by estimated blood loss. Estimated blood loss was the dominant factor correlated with longer operative time in LSH. Conclusions Both LAVH and LSH could be feasible in uteri greater than 500 g. LSH appeared to have less complication and less blood loss than LAVH. Operative time was correlated significantly with bleeding amount. Therefore, better bleeding control and surgical experience were warrants for single-port laparoscopic hysterectomy in uteri greater than 500 g. |
| Databáze: | OpenAIRE |
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