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Korean Journal of Obstetrics & Gynecology 2008;51(7):750-756.
Published online July 1, 2008.
Comparison of surgical outcomes after laparoscopy-assisted vaginal hysterectomy and total laparoscopic hysterectomy.
Hyun Park, Min Chul Choi, Bo Sung Yoon, Seok Ju Seong, Yeon Kyung Cho, Joong Sik Shin, Hye Sun Jun, Jeong Yun Shim, In Hyun Kim, Chong Taik Park
1Department of Obstetrics and Gynecology, Kangnam CHA Hospital, College of Medicine, Pochon CHA University, Seoul, Korea. sjseongcheil@yahoo.co.kr
2Department of Pathology, Kangnam CHA Hospital, College of Medicine, Pochon CHA University, Seoul, Korea.
Abstract
OBJECTIVE
To compare the surgical outcomes between laparoscopy-assisted vaginal hysterectomy (LAVH) and total laparoscopic hysterectomy (TLH). METHODS: The data were collected retrospectively from hospital records. Between September 2006 and August 2007, Patients undergone with LAVH (93 cases) and TLH (142 cases) with pathologic reports of leiomyoma or adenomyosis were enrolled. The characteristics and surgical results were compared according to the operation type. The correlations among the variables were analyzed with multiple linear regression. RESULTS: Between two groups, the characteristics of patients were similar such as age, body mass index, surgical history, and pathologic findings. In the univariate analysis, the differences of operation duration and blood loss between LAVH (129.0+/-34.5 min, 385.5+/-296.1 mL) and TLH (123.6+/-40.8 min, 294.7+/-285.4 mL) were significant (P<0.050). Specimen weight was slightly heavier in LAVH (378.7+/-211.7 g vs. 316.9+/-170.1 g, P=0.060), Admission duration (5.63+/-1.61 day vs. 5.71+/-1.61 day) and the incidence of complications (10.8% vs. 14.0%) were indifferent to the groups (LAVH vs. TLH, P>0.050). In multivariate analysis, blood loss was correlated with operation duration and specimen weight (P=0.000) but not with operation type (P=0.213). CONCLUSIONS: LAVH tends to be selected in larger uteri and results in more blood loss and longer operation duration. Operation type (LAVH or TLH) does not affect blood loss which is related with operation duration and uterine weight.
Key Words: Hysterectomy, Laparoscopy


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