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PubMed · 10648747

Laparoscopic hysterectomy.

H Ben-Hur·J H Phipps
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Abstract

STUDY OBJECTIVE: To determine the soundness of laparoscopic hysterectomy compared with vaginal and abdominal hysterectomy Design. Nonrandomized, uncontrolled, retrospective study (Canadian Task Force classification III). SETTING: Medium-size community hospitals. PATIENTS: One thousand six hundred forty-eight women undergoing laparoscopic hysterectomy, including those with uterine size 17 weeks' gestation or less. INTERVENTION: Laparoscopic hysterectomy staged as level 4, which includes laparoscopic dissection of the uterine artery. MEASUREMENTS AND MAIN RESULTS: The median duration of surgery was 36 minutes (range 24-104 min), compared with the usual 115 minutes for laparoscopic-assisted vaginal hysterectomy. Complication rate was 0.66%. No complications occurred in the last 3 years when the procedures included transillumination of the ureters. Although the costs associated with disposable equipment are high, the technique is cost effective. CONCLUSION: With proper training and ureteral transillumination, laparoscopic hysterectomy is safe and effective, and with stents, ureteral injury is avoided.

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Cost-Benefit AnalysisFemaleHumansHysterectomyHysterectomy, VaginalLaparoscopyLength of StayMiddle AgedRetrospective StudiesTime FactorsComparative StudyJournal ArticleMulticenter Study

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H Ben-Hur, J H Phipps. 2000. Laparoscopic hysterectomy.. https://doi.org/10.1016/s1074-3804(00)80017-1

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