Minilaparotomy vs. laparoscopic hysterectomy: comparison of length of hospital stay.
J Minim Invasive Gynecol
; 21(4): 619-23, 2014.
Article
em En
| MEDLINE
| ID: mdl-24469276
ABSTRACT
STUDY OBJECTIVE:
To compare length of hospital stay for minilaparotomy vs laparoscopic hysterectomy.DESIGN:
Retrospective cohort study (Canadian Task Force classification II-2).SETTING:
Kaiser Permanente Northern California, a large integrated health care delivery system. PATIENTS Women >18 years of age undergoing laparoscopic or minilaparotomy hysterectomy because of benign indications from June 2009 through January 2010. INTERVENTION Hysterectomy via minilaparotomy or laparoscopy. MEASUREMENTS AND MAINRESULTS:
Medical records were reviewed for outcomes of interest including length of stay and surgical and demographic data. Parametric and non-parametric analyses were used to compare the 2 groups. The study was powered to detect a difference of 8 hours in length of stay. Two hundred sixty-three cases were identified as hysterectomy via minilaparotomy (n = 100) or laparoscopy (n = 163). The laparoscopy group demonstrated a significantly shorter mean (SD) length of stay (19 [14] hours vs. 42 [20] hours; p < .001) and less blood loss (126 [140] mL vs. 241 [238] mL; p < .001). The minilaparotomy group experienced a shorter procedure time (113 [47] minutes vs. 197 [124] minutes; p < .001). There was no difference between the groups insofar as patient morbidity including intraoperative and postoperative complications, emergency visits, readmissions, or repeat operations.CONCLUSION:
Compared with minilaparotomy, laparoscopic hysterectomy is associated with shorter length of hospital stay, longer operating time, and no increased patient morbidity.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Doenças Uterinas
/
Duração da Cirurgia
/
Histerectomia
/
Tempo de Internação
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article