Preoperative Evaluation of the Challenge Level of Total Laparoscopic Hysterectomy

– Evaluation of the factors influencing the operating time –

Abstract

Objective: To evaluate the factors influencing operating time and intraoperative blood loss in patients undergoing total laparoscopic hysterectomy (TLH).
Methods: We enrolled 59 patients who had undergone TLH at our institution between March 2013 and March 2014. We examined the correlations between the operative time of each surgical procedure and uterine size (longitudinal diameter, occipitofrontal, diameter, and transverse diameter) and between operative time and body mass index.
Results: Regression analyses revealed that transverse diameter of the uterine corpus affected the operating time. In addition, we found that only the transverse diameter of the uterine corpus affected intraoperative blood loss while processing the cardinal ligament, and that body mass index affected the operating time while processing the suture of vaginal stump.
Conclusion: Transverse diameter of the uterine corpus is a factor influencing operating time.