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Obstetrics & gynecology science v.61 no.2, 2018년, pp.261 - 266  
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Postoperative outcomes of natural orifice transluminal endoscopic surgery-assisted vaginal hysterectomy and conventional laparoscopic-assisted vaginal hysterectomy: a comparative study

Kim, Seong Hee    (Department of Obstetrics and Gynecology, Eulji General Hospital, Seoul, Korea .  ); Jin, Chan Hee    (Department of Obstetrics and Gynecology, Eulji University Hospital, Daejeon, Korea .  ); Hwang, In Taek    (Department of Obstetrics and Gynecology, Eulji University Hospital, Daejeon, Korea .  ); Park, Jun Sook    (Department of Obstetrics and Gynecology, Eulji University Hospital, Daejeon, Korea .  ); Shin, Jung Hwan    (Department of Obstetrics and Gynecology, Eulji General Hospital, Seoul, Korea .  ); Kim, Dae Woon    (Department of Obstetrics and Gynecology, Eulji General Hospital, Seoul, Korea .  ); Seo, Yong Soo    (Department of Obstetrics and Gynecology, Eulji General Hospital, Seoul, Korea .  ); Sohn, Jee Nah    (Department of Obstetrics and Gynecology, Eulji General Hospital, Seoul, Korea .  ); Yang, Yun Seok    (Department of Obstetrics and Gynecology, Eulji University Hospital, Daejeon, Korea .  );
  • 초록

    Objective The present study aimed to determine the differences in outcomes between natural orifice transluminal endoscopic surgery-assisted vaginal hysterectomy (NAVH) and conventional laparoscopy-assisted vaginal hysterectomy (LAVH). Methods We retrospectively reviewed the charts of patients who between July 2012 and September 2015, were diagnosed as having benign uterine disease such as uterine myoma, endometriosis, or adenomyosis and managed via NAVH or LAVH in a single-center (Eulji University Hospital). Data such as age, body weight, height, parity, operation time, intra/post-operative complications, and uterus weight were obtained from the clinical charts. NAVH and LAVH recipients were matched 1:3 in terms of baseline characteristics, and the 2 groups were compared regarding surgical outcomes. Results Of the 160 patients with benign uterine disease included in the present study. Forty received NAVH and remaining 120 received LAVH. There were significant differences between the groups regarding operation time and hemoglobin change. Notably, although the operation time was shorter for LAVH, hemoglobin change was lower for NAVH. Additionally, although maximum hospitalization duration was shorter for LAVH, the average length of hospitalization was similar between NAVH and LAVH. There were no significant differences between the groups in terms of other variables. Conclusion NAVH may become a new alternative surgical method of choice for hysterectomy, as it represents a clinically feasible and safe approach; moreover is superior to LAVH in terms of bleeding loss.


  • 주제어

    Laparoscopy .   Hysterectomy .   Natural orifice endoscopic surgery .   Postoperative complications.  

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