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学科主题: 公共卫生
题名:
A randomized, controlled study comparing minilaparotomy versus isobaric gasless laparoscopic assisted minilaparotomy myomectomy for removal of large uterine myomas: Short-term outcomes
作者: Tan, Jie1; Sun, Yangyan1; Zhong, Baoliang2; Dai, Huihua3; Wang, Daoyuan1,4
关键词: Uterine myomas ; Isobaric gasless laparoscopy ; Minilaparotomy ; Laparoscopic assisted minilaparotomy ; Myomectomy
刊名: EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
发表日期: 2009-07-01
DOI: 10.1016/j.ejogrb.2009.04.015
卷: 145, 期:1, 页:104-108
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Obstetrics & Gynecology ; Reproductive Biology
研究领域[WOS]: Obstetrics & Gynecology ; Reproductive Biology
关键词[WOS]: BENIGN GYNECOLOGIC DISEASE ; FIBROIDS ; LEIOMYOMAS ; MANAGEMENT
英文摘要:

Objective: To compare the operative data and early postoperative outcomes for myomectomy performed by minilaparotomy (MLT) with isobaric laparoscopic assisted minilaparotomy myomectomy (LM) in a series of patients with large uterine myomas (>= 5 cm) randomly assigned to each surgical technique.

Study design: 80 patients were randomized blindly using a computer randomization list to MLT (n = 40) or LM (n = 40).

Results: The mean (+/- SD) operating time was significantly shorter after LM than after MLT (75.50 +/- 25.70 vs 96.00 +/- 26.20 min; p < 0.01). Intraoperative blood loss was less with LM (72.15 +/- 44.00 vs 96.21 +/- 38.50 ml; p < 0.05), and Delta Hb was less with LIVI (1.21 +/- 0.55 vs 1.64 +/- 0.57; p < 0.05). No intraoperative complications occurred, and no case was returned to the theater in either group. No conversion to standard laparotomy was necessary. Hospitalization was shorter after LM than after MLT (4.30 +/- 1.20 vs 6.90 +/- 2.70 days; p < 0.01). Postoperative ileus was shorter after LM than after MLT (26.20 +/- 4.20 vs 40.50 +/- 4.90 h; p < 0.01). The mean VAS score at 12 h for abdominal pain was 5.5 +/- 0.7 in the LM group and 5.2 +/- 0.8 in MLT group (p < 0.05), whereas it was analogous in the two groups at 24 h, and at 48 h was 3.4 +/- 1.1 in the LM group and 4.2 +/- 1.1 in the MLT group (p < 0.05), and no difference between two groups was detected in the overall mean (at 12, 24 and 48 h).

Conclusions: Several surgical and immediate postoperative outcomes were significantly better in the LM group than in the MLT group. Crown Copyright (c) 2009 Published by Elsevier Ireland Ltd. All rights reserved.

语种: 英语
WOS记录号: WOS:000268439400022
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/49891
Appears in Collections:北京大学公共卫生学院_期刊论文

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作者单位: 1.SE China Univ, Jiangyin Hosp, Sch Med, Dept Gynaecol, Jiangyin City 214400, Jiangsu Prov, Peoples R China
2.Peking Univ, Sch Publ Hlth, Beijing 100083, Peoples R China
3.Nanjing Med Univ, Jiangsu People Hosp, Dept Gynaecol, Nanjing 210029, Jiangsu Prov, Peoples R China
4.Shanghai Jiao Tong Univ, Sch Med, Shanghai Ruijin Hosp, AmMed Canc Ctr, Shanghai 200025, Peoples R China

Recommended Citation:
Tan, Jie,Sun, Yangyan,Zhong, Baoliang,et al. A randomized, controlled study comparing minilaparotomy versus isobaric gasless laparoscopic assisted minilaparotomy myomectomy for removal of large uterine myomas: Short-term outcomes[J]. EUROPEAN JOURNAL OF OBSTETRICS &amp; GYNECOLOGY AND REPRODUCTIVE BIOLOGY,2009,145(1):104-108.
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