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복강경하 질식 전자궁적출술, 질식 전자궁적출술 및 복식 전자궁적출술의 임상적 비교
민병강 ( Byoung Kang Min ),박준숙 ( Joon Suk Park ),류지훈 ( Ji Hoon Ryu ),김억배 ( Eok Bae Kim ),심삼용 ( Sam Young Shim ),송영래 ( Young Rae Song ),김기환 ( Ki Hwan Kim ),강경화 ( Kyung Hwa Kang ),이병관 ( Byung Kwan Lee ),노정 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.8
Objective: To compare the clinical results for women undergoing total abdominal hysterectomy (TAH), laparoscopic assisted vaginal hysterectomy (LAVH) and total vaginal hysterectomy (TVH). Methods: We reviewed the medical records of patients who underwent TAH (n=97), LAVH (n=112) and TVH (n=95) from June 2002 to June 2005. We compared and evaluated patient`s characteristics, previous abdominal operation histories, indication of hysterectomy, uterine weight, operative time, perioperative hemoglobin and hematocrit change, the degree of postoperative pain, hospital stay and complications. Results: The patient`s characteristic (age, weight, height, parity, perioperative hemoglobin and hematocrit change, complication rate) had no statistical difference in all three groups. In the TVH group, the rate of previous abdominal operations (25%) was significantly lower than TAH (56%), and LAVH (40%) (p=0.023). The mean uterine weight was the heaviest in TAH group (443.6±407.3 g), compared to LAVH group (301.9±133.9 g) and TVH group (225.3±91.8 g) (p<0.001). Operative time was the longest for LAVH group (p=0.001), and there was no significant difference between TAH group and TVH group (p=0.087). The TAH group had the highest postoperative pain scale and the length of hospital stay. The LAVH group and TVH group had almost the same postoperative pain scale and the length of hospital Conclusion: Both LAVH and TVH had the following advantages compared with total abdominal hysterectomy: less pain, shorter hospital stay, cosmetic advantages. But limited operation field in TVH and expensive operative cost in LAVH were disadvantages. Specific guidelines for determining the route of hysterectomy result in decreased morbidity and lower costs, and thus the gynecologist can ensure that the patient receives the best possible surgical care.