Histerectomía total laparoscópica: estudio descriptivo de la experiencia en el Hospital Universitario General de Castellón

Q4 Medicine

Progresos en Obstetricia y Ginecologia Pub Date : 2015-12-01 DOI:10.1016/j.pog.2015.05.005

José Luis Herraiz, José Antonio Llueca, Marta Colecha, Carmen Catalá, Cristina Oliva, Anna Serra, Enrique Calpe

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引用次数: 4

Abstract

Objective

To describe complications and clinical evolution of patients underwent to total laparoscopic hysterectomy.

Material and method

A retrospective study was performed after reviewing 120 patients who were subjected to laparoscopic hysterectomy in the period between January 2012 and December 2014. Medium age was 54 years (23-94) and BMI 27.6. The general characteristics, indications, presence of previous surgery, perioperative complications were analyzed and postoperative duration of the procedure and rate of conversion to laparotomy.

Results

The intraoperative complications were bladder injury (0.8%) and ureteral injury (1.7%). There were postoperative complications in 6 patients (three febrile syndrome, fistula ureterovaginal, two vaginal cuff dehiscence, two vaginal bleeding and hemoperitoneum). The conversion rate to abdominal hysterectomy was 1.6%.

Conclusion

Laparoscopic hysterectomy is a reproducible process with a low complication rate accepted by the patients quality of life, and with rapid postoperative recovery.

查看原文本刊更多论文

目的探讨腹腔镜全子宫切除术患者的并发症及临床进展。材料与方法对2012年1月至2014年12月行腹腔镜子宫切除术的120例患者进行回顾性研究。中位年龄为54岁(23-94)，BMI为27.6。分析患者的一般特点、适应证、既往手术情况、围手术期并发症、手术持续时间及转开腹率。结果术中并发症以膀胱损伤(0.8%)和输尿管损伤(1.7%)为主。术后出现并发症6例(发热综合征3例，输尿管阴道瘘2例，阴道袖带破裂2例，阴道出血2例，腹腔积血2例)。腹腔子宫切除术的转换率为1.6%。结论腹腔镜子宫切除术可重复性好，并发症发生率低，患者生活质量好，术后恢复快。

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

Progresos en Obstetricia y Ginecologia Medicine-Obstetrics and Gynecology

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Es la Revista Oficial de la Sociedad Española de Ginecología y Obstetricia, y está presente en los más prestigiosos índices de referencia en medicina. Sus contenidos, clasificados en función de 4 grandes áreas (reproducción y endocrinología, perinatología, oncología y ginecología general) resultan de máxima utilidad para el especialista.