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目的研究腹腔镜大子宫全切除术的手术要点和临床价值。方法分析超过如12孕周大的子宫施行腹腔镜下子宫全切除术30例患者的临床资料。结果 30例患者均在腹腔镜下完成子宫全切术,无中转开腹,手术时间(128.5±45.5)min,术中出血量(23.3±17.9)ml,术后平均住院(6±1.2)d。无一例手术并发症发生。结论巨大子宫全切术可以在腹腔镜下完成,并能取得良好效果。但必须熟悉盆腔、输尿管及血管解剖,熟练掌握腹腔镜操作技巧。
Objective To study the operative point and clinical value of laparoscopic hysterectomy. Methods The clinical data of 30 patients who underwent laparoscopic total hysterectomy more than 12 weeks old were analyzed. Results All 30 patients underwent laparoscopic hysterectomy without conversion to laparotomy. The operative time (128.5 ± 45.5) min, intraoperative blood loss (23.3 ± 17.9) ml and postoperative average hospital stay (6 ± 1.2) d . No case of surgical complications occurred. Conclusions Huge hysterectomy can be done under laparoscopy and can achieve good results. But must be familiar with pelvic, ureter and vascular anatomy, proficiency in laparoscopic skills.