Vaginal hysterectomy or laparoscopic assisted vaginal hysterectomy for enlarged myomatous uterus:a r

• 作 者: 范融 朱兰 郎景和 史宏晖 龚晓明
• 机 构: Department of Obstetrics & Gynecology,Peking Union Medical College Hospital,
• 出 处: 生殖医学杂志
• 发表日期: 2011年S2期
• 关键词: hysterectomy uterus vaginal uterine enlarged comparable intraoperative Peking ma

Objective:To compare the intraoperative condition and short-term outcomes of vaginal hysterectomy(VH) and laparoscopic assisted vaginal hysterectomy(LAVH) for enlarged myomatous uterus. Methods:Fifty patients from Peking Union Medical College Hospital(PUMCH) were randomly assigned to two treatment groups:VH(n= 23) and LAVH(n= 27).All procedures were performed by a single senior surgeon to maintain homogeneity. Results:The baseline characteristics of the two groups were comparable.The operative time for LAVH was significantly longer than for VH(76.7±23.2 vs.57.6±23.5 min,P<0.05),and LAVH costs more money than VH(6,923.07±622.96 vs.5,974.46±1,408.08 RMB,P<0.05).Major complications,uterine weight and the length of hospital stay were comparable between VH and LAVH group.One case of VH was converted to LAVH due to adhesion. Conclusions:Compared with LAVH,VH is a time- and cost-saving operative technique for enlarged myomatous uterus.VH should be the primary method for uterine removal,but LAVH may have advantages when adhesion is present.

Objective: To compare the intraoperative condition and short-term outcomes of vaginal hysterectomy (VH) and laparoscopic assisted vaginal hysterectomy (LAVH) for enlarged myomatous uterus. Methods: Fifty patients from Peking Union Medical College Hospital (PUMCH) were randomly assigned to two treatment groups: VH (n = 23) and LAVH (n = 27). All procedures were performed by a single senior surgeon to maintain homogeneity. Results: The baseline characteristics of the two groups were comparable.The operative time for LAVH was significantly longer than for VH (76.7 ± 23.2 vs.57.6 ± 23.5 min, P <0.05), and LAVH costs more money than VH (6,923.07 ± 622.96 vs. 5,974.46 ± 1,408.08 RMB, P <0.05). Major complications, uterine weight and the length of hospital stay were comparable between VH and LAVH group. One case of VH was converted to LAVH due to adhesion. Conclusions: Compared with LAVH, VH is a time- and cost-saving operative technique for enlarged myomatous uterus. VH should be the primary method for uterine removal, bu t LAVH may have advantages when adhesion is present.