title: [Comparison of three subcategories of laparoscopic hysterectomy].
abstract: OBJECTIVE
  To compare the clinical characteristics of three subcategories of laparoscopic hysterectomy: total laparoscopic hysterectomy (TLH) and two subcategories of laparoscopic-assisted vaginal hysterectomy (LAVH): LAVHs and LAVHb.
  
  
  METHODS
  We retrospectively analyzed the clinical data of 393 patients underwent laparoscopic hysterectomy, including TLH (n=178), LAVHa (n=177), and LAVHb (n=38), in our hospital from September 2002 to September 2005.
  
  
  RESULTS
  Myoma and adenomyosis of uterus were the most common diseases in this study, accounting for 66.9%, 38.4%, and 52.6% in TLH group, LAVHa group, and LAVHb group, respectively. The mean surgery duration and blood loss were not significantly different between TLH group and LAVHa group (P > 0.05), but were significantly less in TLH group than in LAVHb group (P < 0.05). The bulk of uterus in TLH group was significantly bigger than in other two groups (P < 0.05). The incidence of major complications in the TLH group (9. 0%) was lower than in LAVHa group (14.1%) and in LAVHb group (18.4%), but without statistical significance. Conclusion Compared with LAVH, TLH is feasible to deal with bigger uterus with less blood loss and shorter surgery duration and without more frequent complications.
authors.affiliation: Department of Obstetrics and Gynecology, PUMC Hospital, CAMS and PUMC, Beijing 100730, China.
authors.forename: Chun-hong
authors.initials: CH
authors.lastname: Rong
authors.forename: Keng
authors.initials: K
authors.lastname: Shen
authors.forename: Jing-he
authors.initials: JH
authors.lastname: Lang
authors.forename: Jia-xin
authors.initials: JX
authors.lastname: Yang
authors.forename: Ming
authors.initials: M
authors.lastname: Wu
authors.forename: Ling-ya
authors.initials: LY
authors.lastname: Pan
authors.forename: Jin-hua
authors.initials: JH
authors.lastname: Leng
mesh_terms: D004715:Endometriosis / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D007045:Hysterectomy, Vaginal / Q000009:adverse effects / Q000379:methods; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D009214:Myoma / Q000601:surgery; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000601:surgery