原著論文
当院における腹腔鏡下腟上部切断術（LSH）の検討
2020 年 36 巻 1 号 p. 96-100
詳細
2020 年 36 巻 1 号 p. 96-100
Objective: We investigated the clinical outcomes of laparoscopic supracervical hysterectomy (LSH).
Methods: This study included 142 patients who underwent LSH between January 2016 and December 2019. Patient characteristics, operation time, estimated blood loss, weight of resected specimens, as well as intraoperative and postoperative complications were evaluated.
Results: The operation time in the LSH group was shorter than that in the total laparoscopic hysterectomy (TLH) group (110.5 [67–308] min vs. 141.0 [100-230] min, median [minimum-maximum time]). Moreover, complications in the LSH group were less severe and included the following: intraoperative sigmoid colon serosal injury (one patient [0.70%]), postoperative peritonitis (one patient [0.70%]), postoperative port site infection (two patients [1.41%]), and cervical stump hematoma (one patient [0.70%]).
Conclusion: Compared with TLH, LSH was associated with a shorter operation time. Intraoperative and postoperative complication rates were comparable with those reported by the Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy TLH/LH statistics. LSH is a feasible treatment option for benign uterine diseases.
