title: Surgical outcomes of laparoscopic hysterectomy for enlarged uteri.
abstract: OBJECTIVE
  To compare surgical outcomes of laparoscopic hysterectomy for benign diseases according to the uterine weight.
  
  
  METHODS
  Retrospective study (Canadian Task Force classification II-3).
  
  
  METHODS
  Teaching and research hospital, a tertiary center.
  
  
  METHODS
  Women undergoing laparoscopic hysterectomy for benign diseases.
  
  
  METHODS
  Patients were divided into three groups according to the uterine weight: <250 g (n = 1300), 250 to 500 g (n = 614), and >500 g (n = 178).
  
  
  RESULTS
  Primary outcomes were differences in conversion rates, operating time, and blood loss. Secondary outcomes were differences in length of hospital stay, time to first bowel movement, time of bladder catheterization, and complications. Operating time increased according to the uterine weight (116.5 vs 124.1 vs 133 minutes; p <.001). The rate of conversion was statistically higher only for patients with uteri >500 g (3.3% vs 5% vs 13.5%; p <.001). However, the difference between preoperative and postoperative hemoglobin levels was equivalent for the three groups, as well as the overall rates of minor and major intraoperative complications. There was no difference in the time of bladder catheterization, time to first bowel movement, length of hospital stay, and incidence of minor and major postoperative complications among the three groups.
  
  
  CONCLUSIONS
  Despite longer operating time, there is no increase in the intraoperative or postoperative complication rates in those patients with enlarged uteri undergoing laparoscopic hysterectomy. Only conversion is higher in patients with uteri >500 g.
authors.affiliation: Department of Gynecologic Surgery, CHU Estaing, Clermont-Ferrand, France. williamkondo@yahoo.com
authors.forename: William
authors.initials: W
authors.lastname: Kondo
authors.forename: Nicolas
authors.initials: N
authors.lastname: Bourdel
authors.forename: Francesca
authors.initials: F
authors.lastname: Marengo
authors.forename: Anne-Sophie
authors.initials: AS
authors.lastname: Azuar
authors.forename: Xavier
authors.initials: X
authors.lastname: Tran-ba-Vang
authors.forename: Horace
authors.initials: H
authors.lastname: Roman
authors.forename: Kris
authors.initials: K
authors.lastname: Jardon
authors.forename: Jean Luc
authors.initials: JL
authors.lastname: Pouly
authors.forename: Benoit
authors.initials: B
authors.lastname: Rabischong
authors.forename: Revaz
authors.initials: R
authors.lastname: Botchorishvili
authors.forename: Gerard
authors.initials: G
authors.lastname: Mage
authors.forename: Michel
authors.initials: M
authors.lastname: Canis
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy; D007813:Laparotomy; D007902:Length of Stay; D008875:Middle Aged; D009929:Organ Size; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014546:Urinary Catheterization; D014591:Uterine Diseases / Q000473:pathology* / Q000601:surgery*