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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 239 - 245 (7page)
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초록· 키워드
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Objective The aim of this study was to compare the surgical outcomes of single-port access (SPA) and conventional multi-port access total laparoscopic hysterectomies (TLH) among patients with very large uteri (500 g or more).
Methods Fifty consecutive patients who received TLH for large uterine myomas and/or adenomyoses weighing 500 g or more between February 2009 and December 2012 were retrospectively reviewed. SPA and conventional TLH were each performed in 25 patients. Surgical outcomes, including operation time, estimated blood loss, postoperative hemoglobin change, postoperative hospital stay, postoperative pain, and perioperative complications, were compared between the two groups.
Results There were no significant demographic differences between the two groups. All operations were completed laparoscopically with no conversion to laparotomy. Total operation time, uterus weight, estimated blood loss, and postoperative hemoglobin change did not significantly differ between the two groups. Postoperative hospital stay was significantly shorter for the SPA-TLH group compared to that of the conventional TLH group (median [range], 3 [2.0–6.0] vs. 4 [3–7] days; P=0.004]. There were no inter-group differences in postoperative pain at 6, 24, and 72 hours after surgery. There was only one complicated case in each group.
Conclusion SPA-TLH in patients with large uteri weighing 500 g or more is as feasible as conventional TLH. SPA-TLH is associated with shorter hospital stays compared to that of conventional TLH.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Bijen CB. / 2011 / Cost effectiveness of laparoscopy versus laparotomy in early stage endometrial cancer : a randomized trial / Gynecol Oncol 121 : 76 ~ 82
Canes D. / 2008 / Transumbilical single-port surgery : evolution and current status / Eur Urol 54 : 1020 ~ 1029
Chen YJ. / 2011 / Single-port compared with conventional laparoscopic-assisted vaginal hysterectomy : a randomized controlled trial / Obstet Gynecol 117 : 906 ~ 912
Choi YS. / 2012 / Single-port access laparoscopy-assisted vaginal hysterectomy : our initial experiences with 100 cases / Minim Invasive Surg 2012 : 543627 ~
Choi YS. / 2013 / Singleport vs. conventional multi-port access laparoscopyassisted vaginal hysterectomy : comparison of surgical outcomes and complications / Eur J Obstet Gy
Canes D. / 2008 / Transumbilical single-port surgery : evolution and current status / Eur Urol 54 : 1020 ~ 1029
Chen YJ. / 2011 / Single-port compared with conventional laparoscopic-assisted vaginal hysterectomy : a randomized controlled trial / Obstet Gynecol 117 : 906 ~ 912
Choi YS. / 2012 / Single-port access laparoscopy-assisted vaginal hysterectomy : our initial experiences with 100 cases / Minim Invasive Surg 2012 : 543627 ~
Choi YS. / 2013 / Singleport vs. conventional multi-port access laparoscopyassisted vaginal hysterectomy : comparison of surgical outcomes and complications / Eur J Obstet Gy
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