The Application Of Laparoscopic Surgery In The Benign And Malignancy Tumor Of Uterine

Objective:To analyze the application of laparoscopic myoectomy in clinic. Methods:We analyzed surgeical outcome of 145 TAM and matched 435 LM performed from Jan 2008 to Dec 2011 in the center hospital of Wuhan. Results:The clinicl charecterisitc of the patients were similar in the two groups. The operating time of LM were 73.89min,116.70min and 162.41min, respectively while it was 75.40min,95.14min and 123.33min and the blood loss of LM was 105.15ml.119.70ml and 213.79ml respectively, while it was 142.90ml,164.44ml and 191.11ml in TAM according to the quantity of myoma in 1,2-4 and more than 4. The operating time was similar between the LM and TAM regardless the location and size of the myoma in single myoma. The blood loss of single intramurao fibroid and myoma diameter less than 10cm in LM was less than that in TAM. The time of off-bed activity, bowl function recover, hospital stay postoperative in LMs was better than that of TAM. Conclusion:LM has advantage in blood loss and postoperative recovery. Objective:To analyze the application value of total laparoscopic hysterectomy in clinic. Methods:We analyzed surgeical outcome of 218 TLH and matched 654 TAH performed from Jan 2008 to Dec 2011 in the center hospital of Wuhan. Results:The clinicl charecterisitc of the patients were similar in the two groups. The operating time and blood loss was 75.78min and 123.21ml in TLH, which was 96.62min and 214.57ml (P<0.05). The time of off-bed activity, bowl function recover, hospital stay postoperative in TLH was better than that in TAH. Conclusion:TLH was a feasible procedure with an advantage of less blood loss, less operating time and postoperative recovery. Objective:To analyze the application value of laparoscopic radical hysterectomy in patients with endometrial cancer. Methods:We retrospectively analyzed surgeical outcome and prognositic results between 35 endometrial cancer patients performed LRH and pelvic lymphadenectomy and matched 35 ARH from Jan 2008 to Dec 2011 in the center hospital of Wuhan. Results:The age, clinical stage and pathological type were similar between the two groups. The operating time and blood loss was 227.35min and 260.55ml in LRH, which was 230.65min and 488.51ml in ARH (P<0.05 in blood loss). The time of off-bed activity, bowl function recover, hospital stay postoperative in LRH was better than that in ARH (P<0.05). Postoperative complication was occurred in 2 patients in LRH,1 with urinary retention and 1 with lymphocyst, while there ware 2 patients with urinary retention,2 with lymphocyst and 4 with incision fat liquefaction in ARH. There was no differecnce in the disease-free survival and over survival after follow up for 3-49 months (average:29 months). Conclusion:LRH had an advantage of less time in postoperative recovery and less postoperative complication. Objective:To analyze the application value of laparoscopic radical hysterectomy in patients with cervical cancer. Methods:We retrospectively analyzed surgeical outcome and prognostic results between 55 cervical cancer patients performed LRH and pelvic lymphadenectomy and matched 55 ARH from Jan 2008 to Dec 2011 in the center hospital of Wuhan. Results:The age, clinical stage and pathological type were similar between the two groups. The operating time and blood loss was 260.41min and 266.76ml in LRH, which was 268.11min and 479.73ml (P<0.05 in blood loss). The time of off-bed activity, bowl function recover, hospital stay postoperative in LRH was better than that in ARH (P<0.05). Postoperative complication was occurred in 4 patients in LRH,2 with urinary retention and 2 with lymphocyst, while there ware 4 patients with urinary retention,5 with lymphocyst and 3 with incision fat liquefaction in ARH. There was no differecnce in the disease-free survival and over survival after follow up for 3-49 months (average:29 months). Conclusion:LRH had an advantage of less blood loss, less time in postoperative recovery and less postoperative complication.