Total laparoscopic hysterectomy: a five-year experience.
OBJECTIVE
To review the surgical outcomes of total laparoscopic hysterectomy (TLH) over a five-year period in a teaching community hospital.


METHODS
We reviewed demographic data, intraoperative and postoperative outcomes, and morbidity data on 175 women who underwent TLH between January 2001 and December 2005.


RESULTS
No bowel or urinary tract injury occurred in any of the patients. The major and minor complication rates were 4% and 2.9% respectively. The mean operating time was 108.2 minutes, standard deviation (SD) 29.6 minutes, range 60-199 minutes, and the mean length of hospital stay was 1.2 days, SD 0.4 days. The mean uterine weight was 292.9 g, SD 206.3 g, with the largest specimen weighing 1126 g.


CONCLUSIONS
The cases reported here had operating times and lengths of hospital stay that were similar to those in previously published reports. TLH is a safe and acceptable alternative to standard hysterectomy.
Cheung
Vincent Y T
VYT
Departments of Obstetrics and Gynaecology, North York General Hospital, University of Toronto, Toronto ON.
Rosenthal
David M
DM
Departments of Obstetrics and Gynaecology, North York General Hospital, University of Toronto, Toronto ON.
Morton
Matthew
M
Departments of Obstetrics and Gynaecology, North York General Hospital, University of Toronto, Toronto ON.
Kadanka
Hanna
H
Family and Community Medicine, North York General Hospital, University of Toronto, Toronto ON.
D005260:Female; D005831:Genital Diseases, Female / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery*; D006785:Hospitals, University; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data*; D007431:Intraoperative Complications; D010535:Laparoscopy / Q000706:statistics & numerical data*; D007902:Length of Stay; D008499:Medical Records; D008875:Middle Aged; D009864:Ontario / Q000453:epidemiology; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications; D012189:Retrospective Studies