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A randomized, controlled study comparing minilaparotomy versus isobaric gasless laparoscopic assisted minilaparotomy myomectomy for removal of large uterine myomas: Short-term outcomes
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
2009-07-01
DOI10.1016/j.ejogrb.2009.04.015
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
引用统计
被引频次:5[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/49891
专题北京大学公共卫生学院
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
推荐引用方式
GB/T 7714
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.
APA Tan, Jie,Sun, Yangyan,Zhong, Baoliang,Dai, Huihua,&Wang, Daoyuan.(2009).A randomized, controlled study comparing minilaparotomy versus isobaric gasless laparoscopic assisted minilaparotomy myomectomy for removal of large uterine myomas: Short-term outcomes.EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY,145(1),104-108.
MLA Tan, Jie,et al."A randomized, controlled study comparing minilaparotomy versus isobaric gasless laparoscopic assisted minilaparotomy myomectomy for removal of large uterine myomas: Short-term outcomes".EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY 145.1(2009):104-108.
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