Comparison of the Short-term and Long-term Outcomes of Laparoscopic Hysterectomies and of Abdominal Hysterectomies: a Case Study of 4,895 Patients in the Guangxi Zhuang Autonomous Region, China

Overview

Journal Chin J Cancer Res

Specialty Oncology

Date 2016 May 21

PMID 27199516

Citations 5

Authors

Hongying He

Zhijun Yang

Dingyuan Zeng

Jiangtao Fan

Xiaoxia Hu

Yuan Ye

Hua Bai

Yanming Jiang

Zhong Lin

Zhiying Lei

Xinlin Li

Lian Li

Jinghua Gan

Ying Lan

Xiongzhi Tang

Danxia Wang

Junsong Jiang

Xiaoyan Wu

Meiying Li

Xiaoqing Ren

Xiaomin Yang

Mei Liu

Qinmei Wang

Fuyan Jiang

Li Li

Affiliations

Soon will be listed here.

Abstract

Background: To evaluate the short-term and long-term outcomes after laparoscopic hysterectomy (LH) compared with abdominal hysterectomy (AH) in case of benign gynecological disease.

Methods: A multi-center cohort retrospective comparative study of population among 4,895 hysterectomies (3,539 LH vs.1,356 AH) between 2007 and 2013 was involved. Operative time (OT), estimated blood loss (EBL), intra-operative and post-operative complications, passing flatus; days with indwelling catheter, questionnaires covering pelvic floor functions and sexual functions were assessed.

Results: The EBL (174.1±157.4 vs. 263.1±183.2 cc, LH and AH groups, respectively), passing flatus (38.7±14.1 vs. 48.1±13.2 hours), days with indwelling catheter (1.5±0.6 vs. 2.2±0.8 days), use of analgesics (6.5% vs. 73.1%), intra-operative complication rate (2.4% vs. 4.1%), post-operative complication rate (2.3% vs. 5.7%), post-operative constipation (12.1% vs. 24.6%), mild and serious stress urinary incontinence (SUI) post-operative (P<0.001; P=0.014), and proportion of Female Sexual Functioning Index (FSFI) total score <26.55 post-operative (P<0.001) of the LH group were significantly less than those of AH group. There were no significant differences in OT (106.5±34.5 vs. 106.2±40.3 min) between the two groups.

Conclusions: LH is a safe and efficient operation for improving patients?long-term quality of life (QoL), and LH is a cost-effectiveness procedure for treating benign gynecological disease. LH is superior to AH due to reduced EBL, reduced post-operative pain and earlier passing flatus.

Citing Articles

Complications of total laparoscopic hysterectomy: A retrospective study of cases performed by a single surgeon.

Choudhary A, Palaskar P, Bhivsane V J Minim Access Surg. 2023; 19(4):473-477.

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Cost effectiveness analysis of total laparoscopic hysterectomy versus total abdominal hysterectomy for uterine fibroids in Western China: a societal perspective.

Yang J, Fan X, Gao J, Li D, Xu Y, Chen G BMC Health Serv Res. 2022; 22(1):252.

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Changes in route of hysterectomy in Norway since introduction of robotic approach.

Johanson M, Lieng M Facts Views Vis Obgyn. 2021; 13(1):35-40.

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Comparison of the Effects of Total Laparoscopic Hysterectomy and Total Abdominal Hysterectomy on Sexual Function and Quality of Life.

Beyan E, Inan A, Emirdar V, Budak A, Tutar S, Kanmaz A Biomed Res Int. 2020; 2020:8247207.

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Effects of Total Abdominal Hysterectomy and Total Laparoscopic Hysterectomy on Urinary Tract Dysfunction.

Sukgen G, Turkay U Gynecol Minim Invasive Ther. 2020; 9(3):113-117.

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