การศึกษาเปรียบเทียบการผ่าตัดมดลูกแบบผ่าตัดผ่านกล้องและผ่าตัดแบบเปิดทางหน้าท้อง : ประสบการณ์ 10 ปี

Pawina  Hunchana

Authors

Pawina Hunchana Somdet Phra Yuppharat Loeng Nok Tha hospital

Keywords:

hysterectomy, total laparoscopic hysterectomy, total abdominal hysterectomy

Abstract

Objective: To compare hysterectomy outcomes between total abdominal hysterectomy (TAH) versus total laparoscopic hysterectomy (TLH).

Method: This study was a retrospective cohort study of women who underwent TAH and TLH in Somdet Phra Yuppharat Loeng Nok Tha hospital from 1 January 2013 to 31 December 2023.

Results: One hundred twenty-one patients who underwent conventional TAH (n=61) or TLH (n=60) were included in this study. The mean age was 46.02 ± 9.89 years. Serum hemoglobin change in the TAH was significantly higher than the TLH (median=11.4, IQR 9.1-11.8 g/dl and median=10, IQR 5.9-11.4 g/dl, p-value=0.002), estimated blood loss in the TAH was significantly higher than the TLH (median=200, IQR 100-300 ml and median 50, IQR 20-125 ml, p-value <0.001), but no statistically significant different in total operating time, uterine weight, postoperative stay and visual analogue scale (VAS) score at postoperative.

Conclusions: These results indicate that TLH had less estimated blood loss. It should be considered an alternative hysterectomy method. However, total operating time and postoperative stay were similar, or the advantages may be higher in some selected patients.

Keywords: hysterectomy, total laparoscopic hysterectomy, total abdominal hysterectomy

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