全腹腔鏡下単純子宮全摘術（Total Laparoscopic Hysterectomy: TLH）276例の後方視的検討

抄録

Objective: To investigate the outcome of TLHs (Total laparoscopic hysterectomies).
Methods: From April 2010 through March 2012, after obtaining informed consent, we reviewed the records of 276 cases of TLH. The following parameters were evaluated: surgery time, blood loss, uterine weight, and complications.
Results: No blood transfusions were administered; ureter injury, bowel injury, or conversion to laparotomy did not occur for any patient. The complication rate was 5%. The mean surgery time was 151.3±29.4 minutes, the mean amount of blood loss was 92.9±79.0 ml, and the mean uterine weight was 403.0±194.1 g (range: 56-1,940 g).
Conclusions: These data suggest that our TLH procedures avoid ureter and bowel injury; furthermore, they are effective for even difficult cases such as a significantly enlarged uterus or an obliterated of the cul-de-sac.