腹腔镜巨大子宫切除术34例报道

Study of laparoscopic hysterectomy of gigantic uterus (report of 34 cases)

目的 探讨腹腔镜下巨大子宫切除术的手术技巧和临床应用价值。方法 对 34例子宫超过 12周孕的患者行腹腔镜下子宫切除术 ,对一些具体手术操作进行改进。结果 所有病例全部在腹腔镜下完成 ,手术过程顺利 ,无 1例中转开腹 ,无 1例手术并发症发生。手术时间为 (98.7± 34.1)min ,术中失血量 (12 8± 30 )ml,术后平均住院时间 4 .6d。结论 腹腔镜下巨大子宫切除术是安全可行的 ,并不会增加手术危险性和手术并发症 ,但必须掌握熟练的手术技巧。

Objective:To investigate the clinical value and operating techniques of laparoscopic hysterectomy of gigantic uteri. Methods:Thirty-four cases which uteris were larger than twelve-weeks pregnant uteri accepted laparoscopic hysterectomy. Some operating techniques were improved.Results: All operations were performed successfully under laparoscopy. No operating complication happened in any cases.The operating time was (98.7±34.1)min, blood loss in operation was (128±30)ml ,the average hospitalization time was 4.6 days.Conclusions:Laparoscopic hysterectomy of gigantic uteri is safe and feasible. It doesn't increase operating danger and complications, but operators must grasp operating techniques skillfully.