Abstract
Laparoscopic hysterectomy is now widely applied to benign uterine disorders. In contrast to decreasing numbers and percentages of patients receiving abdominal hysterectomy, those receiving laparoscopic hysterectomy have been steadily increasing in Kyoto National Hospital. Both the mean weight of resected uterus and intraoperative hemorrhage by laparoscopic hysterectomy were intermediate of those by abdominal and vaginal hysterectomies. While it required the longest operation period, the patient's request for postoperative analgesics was minimal and the hospital stay was shortest following laparoscopic hysterectomy. Laparoscopic hysterectomy is a favorable mode of operation from the view point of surgical invasiveness and cosmetics. It is likely that the surgical complications increase as laparoscopic hysterectomy is performed by increasing numbers of gynecologists and applied to increasing numbers of patients. A ceaseless training is not avoidable to reduce surgical complications associated with laparoscopic hysterectomy.
