Comparison of total laparoscopic hysterectomy and abdominal hysterectomy

BALCI, Osman

Comparison of total laparoscopic hysterectomy and abdominal hysterectomy

Osman BALCI (Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Konya, Türkiye)

Türk Jinekoloji ve Obstetrik Derneği Dergisi

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Yıl: 2014 Cilt: 11 Sayı: 4 Sayfa Aralığı: 224 - 227 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Comparison of total laparoscopic hysterectomy and abdominal hysterectomy

Öz:

Amaç: Bu prospektif çalışmanın amacı, kliniğimizde gerçekleştirilen total laparoskopik histerektomi (TLH) ve total abdominal histerektomi (TAH) vakalarını değerlendirmek ve karşılaştırmaktır. Gereç ve Yöntemler: Bu çalışma Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalında Ocak 2013 ile Nisan 2014 tarihleri arasında gerçekleştirilmiştir. TLH uygulanan 40 hasta (grup 1) ile TAH yapılan 40 hasta (grup 2) karşılaştırılmıştır. Olguların ortalama yaşı, vücut kitle indeksi (VKİ), operasyon süresi, kan kaybı, komplikasyon oranları ve ameliyat sonrası hastanede kalış süreleri iki grup arasında karşılaştırılmıştır. Bulgular: Her iki gurupta yaş, VKİ, spesimen ağırlığı, preoperatif hemoglobin (Hb) değeri ve komplikasyon oranları arasında istatistiksel olarak anlamlı bir fark yoktu. Ortalama postoperatif Hb değeri grup 1de grup 2den daha yüksekti ve istatistiksel olarak anlamlıydı (11,5±0,8 gr/dl-10,8±1,7, p=0,02). Ortalama operasyon süresi grup1 de grup2 den daha uzundu ve istatistiksel olarak anlamlıydı (105,4±22,9 dakika-74,5±18,1, p<0,001). Ortalama hastanede kalış süresi grup 1de grup 2den daha kısa ve istatistiksel olarak anlamlıydı (2,48±0,6 gün-4,88±1,2, p<0,001). Sonuç: Total laparoskopik histerektomi jinekolojik hastalıklar için güvenli ve uygun bir yöntemdir. TLH doğru seçilmiş hastalar için özel avantajlar sunabilir. Bu avantajlar; daha düşük peri-operatif morbidite, yaşam kalitesinin iyileştirilmesi, daha kısa hastanede kalış süresi ve aktiviteye daha hızlı geri dönüştür. J Turk Soc Obstet Gynecol 2014;4:224-7

Anahtar Kelime:

Konular: Cerrahi

Total laparoskopik histerektomi ve abdominal histerektominin karşılaştırılması

Öz:

Objective: The aim of this prospective study is to evaluate and compare to the outcomes of total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH) who performed in our clinic. Materials and Methods: We performed surgical procedures at Necmettin Erbakan University Faculty of Medicine, Department of Obstetrics and Gynecology between January 2013 and April 2014. Forty patients who underwent TLH (group 1) compared to 40 patients who underwent TAH (group 2). The mean age of the cases, body mass index (BMI), duration of operation, the amount of blood loss, rates of complications and post operative hospital stay were compared for two groups. Results: There were no statistically significant differences between the two groups regarding age, body mass index (BMI), specimen weight, pre-operative hemoglobin (Hb) value and rates of the complications. The mean post-operative Hb value was significantly higher in group 1 than group 2 (11.5±0.8 gr/ dl vs. 10.8±1.7, p=0.02). The mean time of operation was significantly longer in group 1 than in group 2 (105.4±22.9 minutes vs. 74±18, p<0.001). The mean duration of hospital stay was statistically shorter in group 1 compared to the group 2 (2.48±0.6 days vs. 4.88±1.2, p<0.001). Conclusion: Total laparoscopic hysterectomy is safe and feasible method for gynecological diseases. TLH may offer specific benefits for properly selected patients. Its advantages are lower peri-operative morbidity, improvement of quality of life, shorter hospital stay and faster return to activity. J Turk Soc Obstet Gynecol 2014;4:224-7

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Reich H. New techniques in advanced laparoscopic surgery. Baillieres Clin Ob¬stet Gynaecol 1989;3:655-81.
2. Mattingly RF, Thompson JD. Leiomyomata uteri and abdominal hysterectomy for benign disease. In Te Lindes Operative Gynecology, 6th ed. Edited by RF Mattingly, JD Thompson. Philadelphia, JB Lipincott, 1985, pp 230-42.
3. Liu CY. Laparoscopic hysterectomy. Report of 215 cases. Gynecol Endosc 1992;1:73-7.
4. Phipps JP, John M, Nayak S. Comparison of laparoscopic assisted vaginal hysterectomy and bilateral salpingo-ophorectomy with conventional abdominal hysterectomy and bilateral salpingoophorectomy. Br J Obstet Gynaecol 1993;110:698-700.
5. Raju KS, Auld BJ. A randomized prospective study of laparoscopic vaginal hysterectomy versus abdominal hysterectomy each with bilateral salpingo-oophorectomy. Br J Obstet Gynaecol 1994;101:1068-71.
6. Reich H, Ribeiro SC, Vidali A. Hysterectomy as a treatment for dysfunctional uterine bleeding. Baillier es Best Pract Res Clin Obstet Gynaecol 1999;13:251-69.
7. Olsson JH, Ellstro¨m M, Hahlin M. A randomized prospective trial comparing laparoscopic and abdominal hysterectomy. Br J Obstet Gynaecol 1996;103:345-50.
8. Härkki-Sirén P, Sjöberg J, Toivonen J, Tiitinen A. Clinical outcome and tissue trauma after laparoscopic and abdominal hysterectomy: a randomized controlled study. Acta Obstet Gynecol Scand 2000;79:866-71.
9. Çelik C, Abali R, Tasdemir N, Aksu E, Çalışkan H, Akkuş D. Total Laparoskopik Histerektomi ve Abdominal Histerektomi Karşılaştırılması; Klinik Sonuçlar. JCAM 2014 Published online. DOI: 10.4328/JCAM.1513.
10. Seracchioli R, Venturoli S, Vianello F, Govoni F, Cantarelli M, Gualerzi B, et al. Total laparoscopic hysterectomy compared with abdominal hysterectomy in the presence of a large uterus. J Am Ass Gynecol Laparosc 2002;9:333-8.
11. Ribeiro SC, Ribeiro RM, Santos NC, Pinotti JA. A randomized study of total abdominal, vaginal and laparoscopic hysterectomy. Int J Gynaecol Obstet 2003;83:37-43.
12. Howard FM, Sanchez R. A comparison of laparoscopic assisted vaginal hysterectomy and abdominal hysterectomy. J Gynecol Surg 1993;9:83-90.
13. Nezhat F, Nezhat C, Gordons S, Wilkins F. Laparoscopic versus abdominal hysterectomy. J Reprod Med 1992;37:247-50.
14. Perino A, Cucinella G, Venezia R, Castelli A, Cittadini E. Total laparoscopic hysterectomy versus total abdominal hysterectomy: an assessment of the learning curve in a prospective randomized study. Hum Reprod 1999;14:2996-9.
15. Ellstro¨m M, Bengtsson A, Tylman M, Haeger M, Olsson JH, Hahlin M. Evaluation of tissue trauma after laparoscopic and abdominal hysterectomy: measurements of neutrophil activation and release of interleukin-6, cortisol, and C-reactive protein. J Am Coll Surg 1996;182:423-30.
16. Labib M, Palfrey S, Paniagua E, Callender R. The postoperative inflammatory response to injury following laparoscopic assisted vaginal hysterectomy versus abdominal hysterectomy. Ann Clin Biochem 1997;34:543-5.
17. Johnson N, Barlow D, Lethaby A, Tavender E, Curr L, Garry R. Methods of hys-terectomy: systematic review and meta-analysis of randomized controlled trials. BMJ 2005;330:1478.
18. 18-Garry R, Fountain J, Mason S, Hawe J, Napp V, Abbott J, Clayton R, Phillips G, Whittaker M, Lilford R, Bridgman S, Brown J. The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ 2004;328:129.

APA	BALCI O (2014). Comparison of total laparoscopic hysterectomy and abdominal hysterectomy. , 224 - 227.
Chicago	BALCI Osman Comparison of total laparoscopic hysterectomy and abdominal hysterectomy. (2014): 224 - 227.
MLA	BALCI Osman Comparison of total laparoscopic hysterectomy and abdominal hysterectomy. , 2014, ss.224 - 227.
AMA	BALCI O Comparison of total laparoscopic hysterectomy and abdominal hysterectomy. . 2014; 224 - 227.
Vancouver	BALCI O Comparison of total laparoscopic hysterectomy and abdominal hysterectomy. . 2014; 224 - 227.
IEEE	BALCI O "Comparison of total laparoscopic hysterectomy and abdominal hysterectomy." , ss.224 - 227, 2014.
ISNAD	BALCI, Osman. "Comparison of total laparoscopic hysterectomy and abdominal hysterectomy". (2014), 224-227.

APA	BALCI O (2014). Comparison of total laparoscopic hysterectomy and abdominal hysterectomy. Türk Jinekoloji ve Obstetrik Derneği Dergisi, 11(4), 224 - 227.
Chicago	BALCI Osman Comparison of total laparoscopic hysterectomy and abdominal hysterectomy. Türk Jinekoloji ve Obstetrik Derneği Dergisi 11, no.4 (2014): 224 - 227.
MLA	BALCI Osman Comparison of total laparoscopic hysterectomy and abdominal hysterectomy. Türk Jinekoloji ve Obstetrik Derneği Dergisi, vol.11, no.4, 2014, ss.224 - 227.
AMA	BALCI O Comparison of total laparoscopic hysterectomy and abdominal hysterectomy. Türk Jinekoloji ve Obstetrik Derneği Dergisi. 2014; 11(4): 224 - 227.
Vancouver	BALCI O Comparison of total laparoscopic hysterectomy and abdominal hysterectomy. Türk Jinekoloji ve Obstetrik Derneği Dergisi. 2014; 11(4): 224 - 227.
IEEE	BALCI O "Comparison of total laparoscopic hysterectomy and abdominal hysterectomy." Türk Jinekoloji ve Obstetrik Derneği Dergisi, 11, ss.224 - 227, 2014.
ISNAD	BALCI, Osman. "Comparison of total laparoscopic hysterectomy and abdominal hysterectomy". Türk Jinekoloji ve Obstetrik Derneği Dergisi 11/4 (2014), 224-227.