A comparative study of the efficiency of laparoscopic and vaginal total hysterectomy for benign uterine diseases

Objective: To compare the clinical efficiency of laparoscopic total hysterectomy(LTH) and vaginal total hysterectomy(VTH) on benign uterine diseases.Methods: The clinical data of 105 patients who suffered from benign uterine diseases and underwent total hysterectomy from Jan.2012 to Jan.2013 were retrospectively analyzed.The patients were assigned into 2 groups: the laparoscopic group(underwent LTH,55 cases) and vaginal group(underwent VTH,50 cases).The type of disease,age,operative time,blood loss,recovery time and complications were comparatively studied between the 2 groups.Results: There was no significant difference between the 2 groups in terms of the type of disease,age,preoperative hemoglobin,combined diseases,uterus weight,complications or postoperative hospital stay(P 0.05).There were more pelvic adhesion and less blood loss in the laparoscopic group(P 0.05).However,the operative time and anal aerofluxus time were significantly longer in the laparoscopic group than those in the vaginal group(P 0.05).Conclusions: Both LTH and VTH have advantages and disadvantages.LTH has clearer operative field,especially in patients with endometriosis or pelvic adhesion.The surgical method should be determined on the basis of surgical indications,operative skills and pelvic anatomy.