Total laparoscopic hysterectomy: A 10-year experience of our clinic

Emine Ahu Koç, Burak Barutcu, Çağlanur Yıldız, Fatmanur Mollahüseyinoğlu Küllaç, İsmail Akkafa, Ayşe Özdemir, Gamze Taçyıldız
In: Deneysel ve Klinik Tıp Dergisi, Vol. 43 No. 1 · 2025 · W7148196317
article OA: green CC0
🔓 Open OA copy Full text JSON View on OpenAlex

Abstract

This study aimed to evaluate the clinical outcomes, advantages, and limitations of total laparoscopic hysterectomy (TLH), and to retrospectively analyze TLH cases performed in our clinic in the context of current literature. A total of 789 patients who underwent TLH for benign or malignant gynecological indications between January 2015 and January 2025 were retrospectively analyzed. Demographic characteristics, surgical indications, operative time, intraoperative and postoperative complications, length of hospital stay, and histopathological findings were recorded. Complications were classified according to the Clavien–Dindo classification system. The mean age of the patients was 49.51 ± 7.74 years. The most common indications were abnormal uterine bleeding (36.25%) and adenomyosis (25.86%). A history of previous abdominal surgery was present in 56.15% of patients. The mean operative time was 82.32 ± 39.98 minutes, and the mean length of hospital stay was 56.62 ± 14.22 hours. The intraoperative complication rate was 0.38%, while the postoperative complication rate was 17.11%, with the majority being minor complications. Total laparoscopic hysterectomy is a safe and effective surgical approach associated with favorable perioperative outcomes. Increased surgical experience appears to be associated with reduced complication rates. Our findings support TLH as a preferred minimally invasive technique in appropriately selected patients.
Full text 1,891 characters · extracted from oa-html · 2 sections · click to expand

Abstract

Keywords

References

- Djokovic D, Noé G, Van Herendael BJ, Chrysostomou A. The routes of hysterectomy: A survey of current practices amongst members of the International Society for Gynaecologic Endoscopy (ISGE). Eur J Obstet Gynecol Reprod Biol. 2023; 291:99-105. - Reich H, DeCaprio J, McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg 1989; 5:213-6 - Wu JM, Wechter ME, Geller EJ, Nguyen TV, Visco AG. Hysterectomy rates in the United States, 2003. Obstet Gynecol 2007; 100:1091-5. - Whiteman MK, Hillis SD, Jamieson DJ, Morrow B, Podgornik MN, Brett KM, et al. Inpatient hysterectomy surveillance in the United States, 2000–2004. Am J Obstet Gynecol. 2008; 198(1):34 e1–7. - Falcone T, Walters MD. Hysterectomy for benign disease. Obstet Gynecol. 2008; 111:753–767. - Cohen SL, Vitonis AF, Einarsson JI. Updated hysterectomy surveillance associated with and minimally hysterectomy. JSLS. 2014; factors invasive 18(3). - Miskry T, Magos A. Randomized, prospective, double-blind comparison of abdominal and vaginal hysterectomy in women without uterovaginal prolapse. Acta Obstet Gynecol Scand. 2003; 82:351–358 (Class I). - Sesti F, Ruggeri V, Pietropolli A, Piccione E. Laparoscopically assisted vaginal hysterectomy versus vaginal hysterectomy for enlarged uterus. JSLS. 2008; 12:246–251 (Class I). Details Primary Language English Subjects Obstetrics and Gynaecology Journal Section Research Article Authors Emine Ahu Koç * 0000-0003-3301-2270 Türkiye Burak Barutcu 0009-0007-2201-5237 Türkiye Çağlanur Yıldız 0000-0002-4466-0495 Türkiye İsmail Akkafa 0009-0009-6481-5659 Türkiye Ayşe Özdemir 0000-0003-4232-4794 Türkiye Gamze Taçyıldız 0009-0004-7325-0024 Türkiye Publication Date April 1, 2026 Submission Date May 14, 2025 Acceptance Date March 31, 2026 Published in Issue Year 2026 Volume: 43 Number: 1

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-html ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

adenomyosis

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. This is a recent paper (2025) — citers typically take a year or two to land, and the OpenAlex reference graph may still be filling in.

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK