Analysis on 40 cases of benign gynecological diseases treated by improved micro-incision total laparoscopic hysterectomy
CHEN Yu
XIA Bairong
Abstract：Objective To analyze the clinical effect of improved micro-incision total laparoscopic hysterectomy in treatment of benign gynecological diseases.Methods The clinical data of 80 patients undergoing total hysterectomy due to benign uterine diseases in Department of Gynecologic Oncology Surgery,the First Affiliated Hospital of USTC West District(Anhui Provincial Cancer Hospital)from June 2023 to February 2024 were retrospectively analyzed.According to different surgical methods,the patients were divided into micro-incision group(receiving improved micro-incision total laparoscopic hysterectomy)and multi-port group(receiving traditional multi-port total laparoscopic hysterectomy),with 40 cases in each group.The operation time,amount of intraoperative blood loss,postoperative intestinal function recovery time and postoperative hospitalization time,postoperative pain scores,satisfaction scores regarding the incision and the occurrence of postoperative complications were compared between the two groups.Results There was no significant difference in the operation time and postoperative intestinal function recovery time between the two groups(P＞0.05).Compared with the multi-port group,the micro-incision group had less amount of intraoperative blood loss,lower postoperative pain scores,shorter postoperative hospitalization time,and the differences were statistically significant(P＜0.05).The sat-isfaction scores regarding the incision in the micro-incision group were higher than those in the multi-port group,and the differences were statistically significant(t=4.135,P＜0.001).There was no significant difference in the incidence rate of postoperative complications between the two groups(x2=2.505,P=0.114).Conclusion The improved micro-incision total laparoscopic hysterectomy is safe and reliable,with small surgical trauma,fast postoperative recovery,mild postoperative pain and high patients'satisfaction.
Keywords：Improved micro-incisionTotal laparoscopic hysterectomyBenign gynecological tumor
Publication Date：2024-06-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 623-627 )