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大多数妇科学家认为,腹腔镜下子宫切除术主要的技术难题是在处理供应子宫下段和阴道穹窿的动脉时,必须安全有效,且没有损害邻近的输尿管。利用腹腔镜辅助的Doderlein 阴式子宫切除术(以下简称LAD)只需要简单的腹腔镜设备和标准的阴式子宫切除技术,易于被妇科医师和病人所接受。该技术在从手术区域分离输尿管时容易结扎子宫血管,是一种安全、直接、快速、价廉的腹腔镜辅助阴式子宫切除术。
Most gynecologists believe that the major technical problem with laparoscopic hysterectomy is that it must be safe and effective in handling the arteries supplying the lower uterine segment and vaginal vault without compromising the proximal ureter. Laparoscopic-assisted Doderlein vaginal hysterectomy (LAD) requires only simple laparoscopic equipment and standard vaginal hysterectomy and is easily accepted by gynecologists and patients. This technique is a safe, direct, rapid and inexpensive laparoscopic-assisted vaginal hysterectomy that is easy to ligature uterine vessels when separating the ureter from the surgical area.