- 作者：Massimo C ; iani ; Stefano Izzo ; Aless ; ro Bulfoni ; Jennifer Riparini ; Stefania Ronzoni ; Annamaria Marconi
- 关键词：hysterectomy ; laparoscopy ; prospective ; randomized ; vaginal
- 刊名：American Journal of Obstetrics and Gynecology
- 出版年：2009
- 出版时间：April 2009
- 年：2009
- 卷：200
- 期：4
- 页码：368.e1-368.e7
- 全文大小：271 K
Objective
The objective of the study was to compare length of stay, blood loss, operative time, and pain of laparoscopic and vaginal hysterectomy.Study Design
This was a prospective, randomized, controlled comparison between vaginal (VH) and laparoscopic (LH) hysterectomy among 60 consecutive patients with a uterine volume of 300 mL or less and without uterine prolapse. Patients were followed up for 12 months.
Results
The groups were significantly different for mean operative time (VH: 81 ± 30 minutes; LH: 99 ± 25 minutes; P = .033) and blood loss (LH: 83 ± 57 mL; VH: 178 ± 149 mL; P = .004). Bilateral adnexectomy was performed when preoperatively planned in 73 % of cases of the vaginal arm, whereas it was always performed in the laparoscopic arm (P = .045). Postoperative pain on day 0 and the number of days of analgesic request were higher in the vaginal group (P = .023 and P = .017, respectively). LH was associated with a reduced hospital stay (LH: 2.7 ± 0.5 days; VH: 3.2 ± 0.6 days; P < .001).There were no differences between the groups at the follow-up.
Conclusion
Laparoscopic hysterectomy results in a shorter hospital stay, less blood loss, and less postoperative pain compared with vaginal hysterectomy.