日本産科婦人科内視鏡学会雑誌
Online ISSN : 1884-5746
Print ISSN : 1884-9938
原著論文
腹腔鏡下子宮全摘術(TLH)における手術難易度の術前予測
-手術時間に影響を与える因子の検討-
幅田 周太朗松浦 基樹明石 祐史鈴木 将裕田渕 雄大斎藤 豪
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ジャーナル フリー

2016 年 31 巻 2 号 p. 376-381

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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.
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© 2016 日本産科婦人科内視鏡学会
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