Difficult and complex laparoscopic hysterectomy:clinical analysis of 129 cases

Objective To discuss the feasibility and operation skills of difficult and complex laparoscopic hysterectomy.Methods A retrospective analysis of clinical data was performed in 129 patients undergoing laparoscopic hysterectomy because of uterine fibroids with size 12 weeks pregnant uterine,endometriosis,fibroids within the broad ligament,uterine isthmus,and uterine cervix or other reasons for removal of the uterus.Results In 125 patients,the laparoscopic operation were completed successfully,the operation time was(153 ± 42.7) min,the amount of bleeding in operation was(213 ± 65) ml,the postoperative hospital stay was 3 ～ 5 d.Four patients were transferred to laparotomy.No massive hemorrhage or injuries in ureter,bladder and rectum were found.Conclusion Difficult and complex hysterectomy can be performed by laparoscope.It is important for the operator to be able to skill-fully master the operation techniques and flexibly apply advanced laparoscopic equipment.