Total laparoscopic hysterectomy for uteri over one kilogram.

IntroductionLaparoscopic hysterectomy for large fibroid uteri is technically a difficult procedure. In this article, we report our experience with fibroid uteri >1 kg in weight.Materials and methodsAn intent-to-treat study.ResultsFrom 2003 to 2009, 13 patients were successfully treated for large fibroid uteri with postoperative specimens weighing >1000 g. Four patients had total abdominal hysterectomy, one patient had laparoscopically assisted vaginal hysterectomy, and 8 patients had total laparoscopic hysterectomy. The last 6 cases were total laparoscopic hysterectomy cases.ConclusionWith experience and specialized techniques, total laparoscopic hysterectomy can replace abdominal hysterectomy for large uteri.