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Authors
Nagata, Hiroki Division of Reproductive-Perinatal Medicine and Gynecologic Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
Komatsu, Hiroaki Division of Reproductive-Perinatal Medicine and Gynecologic Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
Nagaya, Yohei Department of Obstetrics and Gynecology, Japanese Red Cross Yamaguchi Hospital
Tsukihara, Satoru Department of Obstetrics and Gynecology, Japanese Red Cross Yamaguchi Hospital KAKEN
Sarugami, Masako Department of Obstetrics and Gynecology, Japanese Red Cross Yamaguchi Hospital
Harada, Tasuku Division of Reproductive-Perinatal Medicine and Gynecologic Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine Researchers DB KAKEN
Kanamori, Yasunobu Department of Obstetrics and Gynecology, Japanese Red Cross Yamaguchi Hospital
Keywords
abdominal total hysterectomy
comparison
total laparoscopic hysterectomy
Abstract
Background: The present study aimed to determine whether total laparoscopic hysterectomy (TLH) is being implemented safely and appropriately compared with abdominal total hysterectomy (ATH) in our hospital.
Methods: We retrospectively reviewed clinical records of 102 patients who underwent total hysterectomy for benign gynecological disease at Japanese Red Cross Yamaguchi Hospital from January 2017 to August 2018. We examined periods of hospital stay, operation time, blood loss, weight of the uterus, frequency of perioperative complications, and the duration from the first visit to the date of surgery. P < 0.05 was considered to be statistically significant indicated statistical significance.
Results: TLH and ATH were performed in 55 (53%) and 47 (46%) cases, respectively. The TLH group had significantly longer total operation time [133 (82–205) min vs. 87 (57–155) min, P < 0.0001], lesser blood loss [5 (5–35) g vs. 100 (10–820) g, P < 0.0001], shorter hospital stay [7 (5–14) days vs. 10 (9–26) days, P < 0.0001], and lighter uterine weight [206 (27–658) g vs. 554 (79–2284) g, P < 0.0001] than the ATH group. The frequency of perioperative complications did not differ between the two groups (3.5% vs. 8.0%, P = 0.4103).
Conclusion: TLH had a longer operation time and a lesser excised uterine weight, but it had less intraoperative blood loss, shorter hospital stay, and no difference in perioperative complication frequency when compared with ATH.
Publisher
Tottori University Medical Press
Content Type
Journal Article
Link
ISSN
05135710
NCID
AA00892882
Journal Title
Yonago Acta Medica
Current Journal Title
Yonago Acta Medica
Volume
62
Issue
4
Start Page
273
End Page
277
Original Article
Published Date
2019-11-22
Publisher-DOI
Text Version
Publisher
Rights
注があるものを除き、この著作物は日本国著作権法により保護されています。 / This work is protected under Japanese Copyright Law unless otherwise noted.
Citation
Nagata H, Komatsu H, Nagaya Y, Tsukihara S, Sarugami M, Harada T, et al. Comparison of Total Laparoscopic Hysterectomy with Abdominal Total Hysterectomy in Patients with Benign Disease: A Retrospective Cohort Study. Yonago Acta Medica. 2019;62:273-277.
Department
Faculty of Medicine/Graduate School of Medical Sciences/University Hospital
Language
English