Comparison of Total Laparoscopic Hysterectomy with Abdominal Total Hysterectomy in Patients with Benign Disease: A Retrospective Cohort Study
| Autor: | Yohei Nagaya, Hiroaki Komatsu, Tasuku Harada, Masako Sarugami, Yasunobu Kanamori, Hiroki Nagata, Satoru Tsukihara |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Hysterectomy business.industry medicine.medical_treatment Uterus Total laparoscopic hysterectomy Retrospective cohort study General Medicine Perioperative abdominal total hysterectomy Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure total laparoscopic hysterectomy comparison 030220 oncology & carcinogenesis Statistical significance medicine Original Article 030211 gastroenterology & hepatology In patient business Complication |
| Zdroj: | Nagata H, Komatsu H, Nagaya Y, Tsukihara S, Sarugami M, Harada T, et al. Comparison of Total Laparoscopic Hysterectomy with Abdominal Total Hysterectomy in Patients with Benign Disease: A Retrospective Cohort Study. Yonago Acta Medica. 2019;62:273-277. |
| ISSN: | 0513-5710 |
| Popis: | Background: The present study aimed to determine whether total laparoscopic hysterectomy (TLH) is being implemented safely and appropriately compared with abdominal total hysterectomy (ATH) in our hospital. Methods: We retrospectively reviewed clinical records of 102 patients who underwent total hysterectomy for benign gynecological disease at Japanese Red Cross Yamaguchi Hospital from January 2017 to August 2018. We examined periods of hospital stay, operation time, blood loss, weight of the uterus, frequency of perioperative complications, and the duration from the first visit to the date of surgery. P < 0.05 was considered to be statistically significant indicated statistical significance. Results: TLH and ATH were performed in 55 (53%) and 47 (46%) cases, respectively. The TLH group had significantly longer total operation time [133 (82-205) min vs. 87 (57-155) min, P < 0.0001], lesser blood loss [5 (5-35) g vs. 100 (10-820) g, P < 0.0001], shorter hospital stay [7 (5-14) days vs. 10 (9-26) days, P < 0.0001], and lighter uterine weight [206 (27-658) g vs. 554 (79-2284) g, P < 0.0001] than the ATH group. The frequency of perioperative complications did not differ between the two groups (3.5% vs. 8.0%, P = 0.4103). Conclusion: TLH had a longer operation time and a lesser excised uterine weight, but it had less intraoperative blood loss, shorter hospital stay, and no difference in perioperative complication frequency when compared with ATH. |
| Databáze: | OpenAIRE |
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