腹腔鏡下子宮全摘出術の導入と考察

抄録

  The number of total laparoscopic hysterectomy (TLH) is increasing due to advancements in technique, devices, and expansion of the indication of TLH. We have been performing this surgery for the treatment of benign uterine diseases since August 2017. In this study, we reported how we introduced the surgery at our hospital and evaluated the transition. We divided the procedure into 8 processes and recorded the durations and independence levels of each.

  TLH was successfully introduced in our hospital, and nine of ten cases were successful. There were no severe complications; however, there were cases that required a longer duration than expected, especially in an event of severe adhesion. Case selection is crucial when attempting to introduce a new surgical procedure safely.