摘要
目的探讨采用普通器械、子宫血管缝扎的全腹腔镜子宫切除术(total laparoscopic hysterectomy,TLH)的安全性。方法 2009年6月～2010年10月,采用杯状举宫器,单、双极电凝等常用腹腔镜器械,子宫血管缝扎的方法行TLH 56例。子宫正常大小12例,如孕8～10周24例,如孕9～12周20例。结果 56例均于腹腔镜下完成手术,联合卵巢囊肿剔除3例,盆腔粘连松解7例,腹腔镜阑尾切除术2例。无中转开腹。手术时间76～146 min,(97.6±11.6)min;术中出血量55～105 ml,(85.7±23.5)ml。术后住院4～5 d。术中及术后均未出现并发症。56例随访6～9个月,无异常。结论普通器械、子宫血管缝扎应用于TLH,能有效阻断子宫血供,操作简单,安全有效,值得在基层医院推广应用。
Objective To investigate the safety of total laparoscopic hysterectomy （TLH） by using routine surgical instruments and suturing ligation of the uterine vessels. Methods From June 2009 to October 2010, with uterus lifting apparatus, and monopolar or bipolar electrocoagulation, as well as suturing ligation, we performed TLH on totally 56 cases. In the patients, 12 cases had normal size of the uterus, 24 had the uterus enlarged as 8- to 10-week gestation, and the other 20 cases were as 9- to 12- week gestation. Results The TLH was completed in all the 56 patients without conversion to open surgery. During the operation, 3 patients received oophorocystectomy as well, 7 cases underwent pelvic adhesiolysis, and two patients received laparoseopie appendectomy. The mean operation time of this series was （97. 6 ＋ 11. 6） min （ ranged from 76 to 146 min） , and the mean intraoperative blood loss was （85.7 ＋ 23.5 ） ml （ ranged from 55 to 105 ml）. The patients were discharged from hospital in 4 or 5 days after the operation. No intra- or post-operative complications was reported. The patients were followed up for 6 to 9 months, during which no events occurred. Conclusions With routine surgical instruments and suturing ligation of the uterine vessels, we can block the blood supply to the uterus effectively and safely. The procedure is worth being widely used in primary hospitals.
出处
《中国微创外科杂志》
CSCD
2012年第10期881-883,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
全腹腔镜子宫切除术
单极电凝
双极电凝
杯形举宫器
子宫血管
缝扎
Total laparoscopic hysterectomy
Monopolar electroeoagulation
Bipolar electrocoagulation
Uterus lifting apparatus
Uterine vessels
Suturing ligation
