抄録
Purpose: We report the results of single-port laparoscopically assisted vaginal hysterectomy (SP-LAVH), as employed in our hospital, with the aim of improving cosmetic outcomes.
Patients: This study included 174 of 194 patients undergoing hysterectomy for uterine fibroids in our hospital from January 2012 through December 2013. The 20 patients requiring a laparotomy, based on preoperative evaluation, were excluded.
Methods: SP-LAVH was initially performed; however, when we found it difficult to continue with this approach, we converted the procedure to a multi-port laparoscopically assisted vaginal hysterectomy (MP-LAVH) or abdominal hysterectomy.
Results: The success rate of LAVH was approximately 97%, while that of SP-LAVH was approximately 74%. For SP-LAVH, the mean operative time was 74.5 minutes, the mean blood loss was 399.7 mL, and the mean weight of the removed uterus was 356.4 g. The values of these endpoint parameters were not significantly different from those of patients in whom SP-LAVH had been converted to MP-LAVH. No complications such as organ injury were observed and none of the patients required a transfusion. The success rate of SP-LAVH was lower in patients without than in those with a prior vaginal delivery.
Conclusions: We succeeded in performing a SP-LAVH in 74% of cases and there were no complications. When cosmetic results are taken into account, SP-LAVH, if indicated, is a potential option for a hysterectomy.
