Abstract

To analyze surgical results of women having Type VII laparoscopic hysterectomy to determine whether differences in outcomes exist on the basis of uterine size.This is an analysis of data from 983 cases of type VII laparoscopic hysterectomy performed from September 1996 through August 2010. Demographic and surgical data were stratified by uterine weight (range 14-3,131 g) less than 250 g (n = 720) and 250 g or more (n = 263). Analyses were done by Pearson's ?(2), Wilcoxon rank-sum, and Kruskal-Wallis tests with significance set at 2-sided (p <.05). Outcomes examined include estimated blood loss, skin-to-skin operative time, complications (non-reoperative and reoperative), and duration of hospital stay. Estimated blood loss, skin-to-skin operative time, and length of hospital stay were further analyzed using backwards, stepwise, multivariable, linear regression to control for and identify independent predictors affecting these outcomes. Baseline demographic data were included in the multivariable model. Only covariates that were significant in both multivariable and univariable analyses are presented as statistically significant.A case-controlled, retrospective study (Canadian Task Force Classification II-2).Median operating time varied by uterine weight, with a shorter duration of surgery in patients with uteri less than 250 g at 97 minutes (range 29-330), and patients with uteri greater than 250 g at 135 minutes (range 45-345) (p <.001). Median estimated blood loss was also less in patients with uteri less than 250 g at 50 mL, (range 0-1400), than in patients with uteri weighing 250 g or more, at 150 mL, (range 0-2100) (p <.001). There was no significant difference by uterine weight in median duration of hospital stay of 1 day (range 0-13), total complication rate (7.0%), reoperative complications (3.7%), or non-reoperative complications (3.4%). Duration of surgery, volume of blood lost, and length of hospital stay all decreased with the surgeon's increasing experience.Laparoscopic hysterectomy is feasible and safe, resulting in a short hospital stay, minimal blood loss, minimal operating time, and few complications for patients regardless of uterine weight.

View details for DOI 10.1016/j.jmig.2010.09.016

View details for Web of Science ID 000286286100017

View details for PubMedID 21195958

School of Medicine

Showing 1 of 1 Results

Stacey McCutcheon

Manager, Academic Projects and Communications, School of Medicine - MDRP'S - Biodesign Program

You are Here:

Current Tab: 6

Site Navigation:

Footer Links:

Stanford Medicine Resources: