title: Laparoscopic hysterectomy of large uteri using three-trocar technique.
abstract: OBJECTIVE
  The uterus with its size exceeds 12 weeks of gestation have been considered a relative contraindication to laparoscopic hysterectomy. With surgical techniques progressed and laparoscopic instruments improved, laparoscopic hysterectomy for large uteri have been performed safely and effectively. The aim of this study is to assess the feasibility and safety of laparoscopic hysterectomy on uterus more than 800 g using a three-trocar technique on 18 patients.
  
  
  METHODS
  From June 2011 to June 2013 a total of 18 consecutive patients underwent laparoscopic hysterectomy for benign gynaecological conditions. All of the 18 consecutive cases were successfully completed by laparoscopy with the instruction of the procedure.
  
  
  RESULTS
  All of the 18 cases were completed by laparoscopy without major complication. The average time of the surgery was 107 min (65-180), the average blood lost was 225 ml (50-800 ml), the average weight of the uterus was 1105 g (820-1880 g), and the average HGB drop was 0.9 g/dl (0.2-1.9 g/dl).
  
  
  CONCLUSIONS
  Based on appropriate techniques and careful operate, Laparoscopic hysterectomies for large uteri using three-trocar is safe and feasible to most of the patients.
authors.affiliation: Department of Gynecology, Zhejiang Provincial People's Hospital No. 158 Shangtang Rd, Hangzhou 310004, China.
authors.forename: Wenjie
authors.initials: W
authors.lastname: Zeng
authors.affiliation: Department of Gynecology, Zhejiang Provincial People's Hospital No. 158 Shangtang Rd, Hangzhou 310004, China.
authors.forename: Liyou
authors.initials: L
authors.lastname: Chen
authors.affiliation: Department of Gynecology, Zhejiang Provincial People's Hospital No. 158 Shangtang Rd, Hangzhou 310004, China.
authors.forename: Weijie
authors.initials: W
authors.lastname: Du
authors.affiliation: Department of Gynecology, Zhejiang Provincial People's Hospital No. 158 Shangtang Rd, Hangzhou 310004, China.
authors.forename: Jinghui
authors.initials: J
authors.lastname: Hu
authors.affiliation: Department of Gynecology, Zhejiang Provincial People's Hospital No. 158 Shangtang Rd, Hangzhou 310004, China.
authors.forename: Xiangming
authors.initials: X
authors.lastname: Fang
authors.affiliation: Department of Gynecology, Zhejiang Provincial People's Hospital No. 158 Shangtang Rd, Hangzhou 310004, China ; Wenzhou Medical University Chashan Campus Chashan University Town Wenzhou, Zhejiang Province 325035, China.
authors.forename: Xiaofeng
authors.initials: X
authors.lastname: Zhao
keywords: Laparoscopic hysterectomy; large uterus; three-trocar technique