摘要
目的:探讨应用腹腔镜行困难子宫全切除术的方法及手术原则。方法:对102例诊断为子宫内膜异位症、宫颈肌瘤、阔韧带肌瘤及盆腔粘连、剖腹产术后行腹腔镜全子宫切除手术的病例进行临床分析。结果:102例患者全部行腹腔镜下子宫全切除术,平均手术时间(158.3±43.7)m in,术中出血量平均(236.6±87.8)m l,术后平均住院时间(6.4±2.2)d。无1例出现输尿管、膀胱、直肠等脏器损伤。结论:复杂及困难的全子宫切除术也可在腹腔镜下完成。熟悉盆腔解剖、熟练掌握腹腔镜操作技巧、灵活运用各种手术器械是手术成功的重要保证因素。
Objective： To investigate the methods and technique skills during complicated total laparoscopic hysterectomy. Methods：Total laparoscopic hysterectomy were preformed in 102 cases diagnosed of endometriosis, cervical fibroids, uterine fibroid within the broad ligament, pelvic adhesion and previous cesarean section. Results：All cases were performed under laparoscopy. Mean operating time was （ 158.3 ± 43.7） rain, mean blood loss was （236.6 ± 87.8） ml, mean hospitalization after operation was （6.4 ± 2.2 ） days. There were no complications related to the injury of ureter, bladder and rectum. Conclusions：Complicated hysterectomy can be performed under laparoscopy. It is important for the operator to be familiar with pelvic anatomy and the use of different equipments to perform the procedure.
出处
《腹腔镜外科杂志》
2006年第1期1-2,共2页
Journal of Laparoscopic Surgery
关键词
腹腔镜
全子宫切除术
困难
Laparoscopy
Complicated hysterectomy
Hard
