フルテキストファイル
著者
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 研究者総覧 KAKEN
Kanamori, Yasunobu Department of Obstetrics and Gynecology, Japanese Red Cross Yamaguchi Hospital
キーワード
abdominal total hysterectomy
comparison
total laparoscopic hysterectomy
抄録
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.
出版者
Tottori University Medical Press
資料タイプ
学術雑誌論文
外部リンク
ISSN
05135710
書誌ID
AA00892882
掲載誌名
Yonago Acta Medica
最新掲載誌名
Yonago Acta Medica
62
4
開始ページ
273
終了ページ
277
Original Article
発行日
2019-11-22
出版者DOI
著者版フラグ
出版社版
著作権表記
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.
掲載情報
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.
部局名
医学部・医学系研究科・医学部附属病院
言語
英語