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Comparison of the short-term and long-term outcomes of laparoscopic hysterectomies and of abdominal hysterectomies: a case study of 4,895 patients in the Guangxi Zhuang Autonomous Region, China.
He, Hongying; Yang, Zhijun; Zeng, Dingyuan; Fan, Jiangtao; Hu, Xiaoxia; Ye, Yuan; Bai, Hua; Jiang, Yanming; Lin, Zhong; Lei, Zhiying; Li, Xinlin; Li, Lian; Gan, Jinghua; Lan, Ying; Tang, Xiongzhi; Wang, Danxia; Jiang, Junsong; Wu, Xiaoyan; Li, Meiying; Ren, Xiaoqing; Yang, Xiaomin; Liu, Mei; Wang, Qinmei; Jiang, Fuyan; Li, Li.
Afiliação
  • He H; Department of Gynecological Oncology, Cancer Institute and Hospital of Guangxi Medical University, Nanning 530021, China;
  • Yang Z; Department of Gynecological Oncology, Cancer Institute and Hospital of Guangxi Medical University, Nanning 530021, China;
  • Zeng D; Department of Gynecological Oncology, The Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou 545005, China;
  • Fan J; Department of Gynecological and Obstetrics, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China;
  • Hu X; Department of Gynecological and Obstetrics, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530022, China;
  • Ye Y; Department of Gynecological and Obstetrics, The Affiliated Hospital of Guilin Medical University, Guilin 541004, China;
  • Bai H; Department of Gynecological and Obstetrics, The Maternal & Child Health Hospital, Nanning 530003, China;
  • Jiang Y; Department of Gynecological and Obstetrics, The People's Hospital of Liuzhou, Liuzhou 545006, China;
  • Lin Z; Department of Gynecological and Obstetrics, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning 530011, China;
  • Lei Z; Department of Gynecological and Obstetrics, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise 533000, China;
  • Li X; Department of Gynecological and Obstetrics, Liuzhou Maternal & Child Health Hospital, Liuzhou 545000, China;
  • Li L; Department of Gynecological and Obstetrics, The First People's Hospital of Nanning, Nanning 530000, China;
  • Gan J; Department of Gynecological and Obstetrics, Minzu Hospital of Guangxi Zhuang Autonomous Region, Nanning 530001, China;
  • Lan Y; Department of Gynecological and Obstetrics, The First Affiliated Hospital of Guangxi Technology University, Liuzhou 545000, China;
  • Tang X; Department of Gynecological and Obstetrics, The People's Hospital of Guilin, Guilin 541002, China;
  • Wang D; Department of Gynecological and Obstetrics, The People's Hospital of Beihai, Beihai 536100, China;
  • Jiang J; Department of Gynecological and Obstetrics, The People's Hospital of Hechi, Hechi 546300, China;
  • Wu X; Department of Gynecological and Obstetrics, The People's Hospital of Baise, Baise 533000, China;
  • Li M; Department of Gynecological and Obstetrics, The First People's Hospital of Yulin, Yulin 537000, China;
  • Ren X; Department of Gynecological and Obstetrics, Wuzhou Worker's Hospital, Wuzhou 543001, China;
  • Yang X; Department of Gynecological and Obstetrics, The People's Hospital of Guigang, Guigang 537100, China;
  • Liu M; Department of Gynecological and Obstetrics, The First People's Hospital of Qinzhou, Qinzhou 535001, China;
  • Wang Q; Department of Gynecological and Obstetrics, The Third People's Hospital of Liuzhou, Liuzhou 545007, China;
  • Jiang F; Department of Gynecological and Obstetrics, Liuzhou Tumor Hospital, Liuzhou 545000, China.
  • Li L; Department of Gynecological Oncology, Cancer Institute and Hospital of Guangxi Medical University, Nanning 530021, China;
Chin J Cancer Res ; 28(2): 187-96, 2016 Apr.
Article em En | MEDLINE | ID: mdl-27199516
BACKGROUND: To evaluate the short-term and long-term outcomes after laparoscopic hysterectomy (LH) compared with abdominal hysterectomy (AH) in case of benign gynecological disease. METHODS: A multi-center cohort retrospective comparative study of population among 4,895 hysterectomies (3,539 LH vs.1,356 AH) between 2007 and 2013 was involved. Operative time (OT), estimated blood loss (EBL), intra-operative and post-operative complications, passing flatus; days with indwelling catheter, questionnaires covering pelvic floor functions and sexual functions were assessed. RESULTS: The EBL (174.1±157.4 vs. 263.1±183.2 cc, LH and AH groups, respectively), passing flatus (38.7±14.1 vs. 48.1±13.2 hours), days with indwelling catheter (1.5±0.6 vs. 2.2±0.8 days), use of analgesics (6.5% vs. 73.1%), intra-operative complication rate (2.4% vs. 4.1%), post-operative complication rate (2.3% vs. 5.7%), post-operative constipation (12.1% vs. 24.6%), mild and serious stress urinary incontinence (SUI) post-operative (P<0.001; P=0.014), and proportion of Female Sexual Functioning Index (FSFI) total score <26.55 post-operative (P<0.001) of the LH group were significantly less than those of AH group. There were no significant differences in OT (106.5±34.5 vs. 106.2±40.3 min) between the two groups. CONCLUSIONS: LH is a safe and efficient operation for improving patients?long-term quality of life (QoL), and LH is a cost-effectiveness procedure for treating benign gynecological disease. LH is superior to AH due to reduced EBL, reduced post-operative pain and earlier passing flatus.
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Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Clinical_trials Idioma: En Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Clinical_trials Idioma: En Ano de publicação: 2016 Tipo de documento: Article