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2015, Number 3

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Revista Cubana de Cirugía 2015; 54 (3)

Laparoscopic hysterectomy performed in 1 599 patients

Barreras GJE, Díaz OI, López MAB, Pereira FJG, Castillo SY, Sánchez HEC

Language: Spanish
References: 35
Page: 222-234
PDF size: 140.78 Kb.


ABSTRACT

Introduction: hysterectomy is one of the most common surgical procedures worldwide. After the cesarean section, it is the second most performed surgery in women at reproductive age and the third most frequent intra-abdominal operation together with appendicectomy and cholecystectomy.
Objective: to describe the indications and the results of 1 559 laparoscopic hysterectomies performed at the National Center of Minimal Access Surgery from January 1994 to October 2014.
Methods: a retrospective, descriptive and observational study conducted in all the patients (n=1 559) with benign and malignant gynecological diseases, who were operated on through the laparoscopic hysterectomy technique in the period of January 1994 through October 2014 at the general surgery service of the National Center of Minimal Access Surgery located in Havana, Cuba.
Results: mean age was 47 years and uterine fibroma was the main surgical indication. Surgical time and blood loss means were 100 minutes and 114 milliliters, respectively. Uterus weight mean was 269 g (60g-1100g). Morbidity reached 5,8%; thirteen patients required conversion to laparotomy (0,8%).
Conclusions: laparoscopic hysterectomy is a safe feasible procedure that can also be performed in other minimally invasive surgery services of the country.


REFERENCES

  1. Faife Faife B. Criterios clínicos de indicación de la histerectomía laparoscópica. Cirugía basada en evidencias científicas [Tesis de Doctorado]. La Habana; 2005.

  2. Reich H, De Caprio J, McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg. 1989;5:213-6.

  3. Reich H. Total laparoscopic hysterectomy: indications, techniques and outcomes. Curr Opin Obstet Gynecol. 2007;19:337–44.

  4. Johnson N, Barlow D, Lethaby A, Tavender E, Curr E, Garry R. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2006:CD003677.

  5. Nieboer TE, Johnson N, Lethaby A, Tavebder E, Curr E, Garry R, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev.2009;(3):CD003677. doi: 10.1002/14651858. CD003677.pub4.

  6. Gendy R, Walsh CA, Walsh SR, Karantanis E. Vaginal hysterectomy versus total laparoscopic hysterectomy for benign disease: a metaanalysis of randomized controlled trials. Am J Obstet Gynecol. 2011;204:388.e1–388.e8.

  7. Kluivers KB, Johnson NP, Chien P, Vierhout ME, Bongers M, Mol BW. Comparison of laparoscopic and abdominal hysterectomy in terms of quality of life: a systematic review. Eur J Obstet Gynecol Reprod Biol. 2008;136:3-8.

  8. ACOG Committee Opinion No. 444: choosing the route of hysterectomy for benign disease. Obstet Gynecol. 2009;114(5):1156–8.

  9. AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL position statement: route of hysterectomy to treat benign uterine disease. J Minim Invasive Gynecol. 2011;18(1):1–3.

  10. Reich H, McGlynn F, Sekel L. Total laparoscopic hysterectomy. Gynaecol Endosc. 1993;2:59–63.

  11. Reich H. Laparoscopic hysterectomy. Surgical Laparoscopy & Endoscopy. New York: Raven Press; 1992.

  12. Ruiz J. Evolución histórica de la terapéutica endoscópica. En: Ruiz J, Torres R, Martínez MA, Fernández A, Pascual H. Cirugía Endoscópica. Fundamentos y aplicaciones. La Habana: Editorial Científico Técnica; 2000. p. 19-22.

  13. Jorgensen S, Cohen SL, Wright KN, Shah MD, Chavan N, et al. Increasing minimally invasive hysterectomy: Effect on cost and complications. Obstet Gynecol. 2011 May;117:1142.

  14. Duhan N. Techniques of Hysterectomy. In: Al-Hendy A (ed.). Hysterectomy. 2012, ISBN: 978953-51-0434-6, InTech. Disponible en: http://www.intechopen.com/books/hysterectomy/types-of-hysterectomy

  15. Faife Faife B, Barreras González JE, González León T, Torres Peña R, Olivé González JB. Consideraciones generales sobre los procedimientos asociados en la cirugía laparoscópica. Rev Cubana Cir. 2012;51(2). ISSN 0034-7493.

  16. Wallenstein Michelle R, Ananth CV, Kim JH, Burke WM, Hershman DL, Lewin ShN, et al. Effect of Surgical Volume on Outcomes for Laparoscopic Hysterectomy for Benign Indications. Obstetrics & Gynecology. 2012;119(4):709–16.

  17. Argüello-Argüello R. Complicaciones en 748 histerectomías por laparoscopia utilizando un manipulador uterino con resaltador vaginal. Revista Colomb Obstet Ginecol. 2012;63(3):252-8.

  18. Miguel Portugal E, Antoni A, Condori E, Dueñas D. Experiencia en la utilización de tres trócares y un manipulador uterino adaptado, en la histerectomía total laparoscópica. Rev Per Ginecol Obstet. 2010;56:294-300.

  19. Ayala-Yáñez R, Briones-Landa C, Anaya-Coeto H, Leroy-López L, Zavaleta-Salazar R. Histerectomía total laparoscópica: estudio descriptivo de la experiencia institucional con 198 casos. Ginecol Obstet Mex. 2010;78(11):605-11.

  20. Díaz Ortega I, Martínez Martínez-Pinillo AF, Morera Pérez M, Barreras González JE, Montero León JF, Amigó de Quesada M. Estadiamiento videolaparoscópico en el adenocarcinoma de endometrio. Rev Cubana Obstet Ginecol. 2014;40(1).

  21. Nezhat FR, Cho JES, Liu C, Gossner G. Management of Gynecologic Malignancies. In: Matteotti R, Ashley SW (eds.). Minimally Invasive Surgical Oncology. Springer- Verlag Berlin Heidelberg 2011. doi: 10.1007/978-3-540-45021-4_30.

  22. Wright J, Herzog THJ, Neugut AI, Burke WM, Lu YSH, Lewin SHN, et al. Gynecologic Oncology. 2012;127(1):11-7.

  23. Lanowska M, Brink-Spalink V, Mangler M, Grittner U, von Tucher E, Schneider A, et al. Vaginal-assisted laparoscopic radical hysterectomy (VALRH) versus laparoscopicassisted radical vaginal hysterectomy (LARVH) in the treatment of cervical cancer: surgical results and oncologic outcome. Arch Gynecol Obstet. 2013. doi: 10.1007/s00404-013-3121-4.

  24. Heaton RL, Walid MS. An intention-to-treat study of total laparoscopic hysterectomy. International Journal of Gynecology & Obstetrics. 2010;111(1):57–61.

  25. Hobson DT, Imudia AN, Al-Safi ZA, Shade G, Kruger M, Diamond MP, et al. Comparative analysis of different laparoscopic hysterectomy Procedures. Arch Gynecol Obstet. 2012;285:1353–61. doi: 10.1007/s00404-011-2140-2.

  26. Uccella S, Cromi A, Serati M, Casarin J, Sturla D, Ghezzi F. Laparoscopic Hysterectomy in Case of Uteri Weighing ≥1 Kilogram: A Series of 71 Cases and Review of the Literature. J Minim Invasive Gynecol. 2013;4:S1553-4650(13)01200-4. doi: 10.1016/j.jmig.2013.08.706

  27. Kondo W, Bourdel N, Marengo F, Botchorishvili R, Pouly JL, Jardon K. Is laparoscopic hysterectomy feasible for uteri larger than 1000 g?. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2011;158(1):76-81.

  28. Wattiez A, Soriano D, Cohen SB, Nervo P, Canis M, Botchorishvili R, et al. The learning curve of total laparoscopic hysterectomy: Comparative analysis of 1647 cases. J Am Assoc Gynecol Laparosc. 2002 Aug;9(3):339-45.

  29. Schiavone MB, Herzog TJ, Ananth CV, et al. Feasibility and economic impact of same-day discharge for women who undergo laparoscopic hysterectomy. Am J Obstet Gynecol. 2012;207:382.e1-9.

  30. Johnson N, Barlow D, Lethaby A. Methods of hysterectomy: systematic review and meta-analysis of randomised controlled trials. BMJ. 2005;330:1478.

  31. Stoica RA, Enache T, Iordache N. Intra operative lesion of the pelvic ureter solved in a minimally invasive manner. Journal of Medicine and Life. 2014;7(3):396-8.

  32. De Cicco C, Schonman R, Craessaerts M, Cleynenbreugel BV, Ussia A, Koninckx PhR. Laparoscopic management of ureteral lesions in Gynecology. Fertility and Sterility. 2009;92(4). doi:10.1016/j.fertnstert.2008.08.021.

  33. Adelman MR, Bardsley TR, Sharp HT. Urinary Tract Injuries in Laparoscopic Hysterectomy: A systematic review. J Minim Invasive Gynecol. 2014 Jul- Aug;21(4):558-66. doi: 10.1016/j.jmig.2014.01.006.

  34. Cipullo L, Cassese S, Fasolino L, Fasolino A. Laparoscopic hysterectomy and urological lesions: risk analysis based on current literature and preventive strategies. Minerva Ginecol. 2008 Aug;60(4):331-7.

  35. Mamik M, Antosh D, White DE, Myers EM, Abernethy M, Rahimi S, et al. Risk factors for lower urinary tract injury at the time of hysterectomy for benign reasons. Int Urogynecol J. 2014;25:1031–6.




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