Single-center experience of laparoscopic hysterectomy: analysis of one thousand five hundred and fifteen patients

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY
Gülşen Doğan Durdağ, Songül Alemdaroğlu, Şirin Aydın, Seda Yüksel Şimşek, Erhan Şimşek, Hüsnü Çelik
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引用次数: 0

Abstract

Objective: Laparoscopic hysterectomy has become an increasingly used surgery in recent years. The aim of this study was to evaluate the clinical features and perioperative outcomes of patients who underwent laparoscopic hysterectomy for benign or malignant indications in a single center during a period of eight years.

Material and methods: Data of patients who underwent laparoscopic hysterectomy in the gynecological oncology department of a university hospital over a period of eight years was analyzed retrospectively. Two groups were formed based on being operated for benign or malignant indications. Demographic characteristics and perioperative data of these groups were evaluated.

Results: A total of 1,515 patients underwent laparoscopic hysterectomy. The mean age of the patients was 52.0±9.8 years and mean body mass index (BMI) was 31.3±8.5 kg/m2. Of these, 1,219 had benign and 296 had malignant histopathology results. In the whole cohort, intraoperative complications were seen in 1.6% and postoperative complications in 3.5%. The patients in the malignant group were older, had a higher BMI and a higher comorbidity rate. The duration of operation and length of hospital stay were significantly longer in this group (p=0.0001 for all parameters). However, intraoperative and postoperative complication rates, rate of blood transfusion and amount of transfusion were similar between the two groups (p>0.05).

Conclusion: Laparoscopic hysterectomy can be performed with low complication rates in benign and malignant indications, regardless of the patient’s contributing factors. However, since experience is important, financial resources and personnel training processes should be supported.

腹腔镜子宫切除术的单中心经验:对一千五百一十五名患者的分析。
目的:近年来,腹腔镜子宫切除术的应用越来越广泛。本研究旨在评估一个中心八年来因良性或恶性适应症接受腹腔镜子宫切除术患者的临床特征和围手术期结果:对一家大学医院妇科肿瘤科八年来接受腹腔镜子宫切除术的患者数据进行回顾性分析。根据手术的良性或恶性适应症分为两组。对两组患者的人口统计学特征和围手术期数据进行了评估:共有 1,515 名患者接受了腹腔镜子宫切除术。患者的平均年龄为(52.0±9.8)岁,平均体重指数为(31.3±8.5)千克/平方米。其中 1,219 例为良性,296 例为恶性。在所有患者中,1.6%出现术中并发症,3.5%出现术后并发症。恶性组患者年龄较大,体重指数较高,合并症发生率较高。该组患者的手术时间和住院时间明显更长(所有参数的P=0.0001)。然而,两组患者的术中和术后并发症发生率、输血率和输血量相似(P>0.05):结论:无论患者的致病因素如何,腹腔镜子宫切除术在良性和恶性适应症中的并发症发生率都很低。然而,由于经验非常重要,因此应支持财政资源和人员培训过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
7.10%
发文量
56
期刊介绍: Journal of the Turkish-German Gynecological Association is the official, open access publication of the Turkish-German Gynecological Education and Research Foundation and Turkish-German Gynecological Association and is published quarterly on March, June, September and December. It is an independent peer-reviewed international journal printed in English language. Manuscripts are reviewed in accordance with “double-blind peer review” process for both reviewers and authors. The target audience of Journal of the Turkish-German Gynecological Association includes gynecologists and primary care physicians interested in gynecology practice. It publishes original works on all aspects of obstertrics and gynecology. The aim of Journal of the Turkish-German Gynecological Association is to publish high quality original research articles. In addition to research articles, reviews, editorials, letters to the editor, diagnostic puzzle are also published. Suggestions for new books are also welcomed. Journal of the Turkish-German Gynecological Association does not charge any fee for article submission or processing.
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