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学科主题: 临床医学
题名:
Gasless laparoscopy for benign gynecological diseases using an abdominal wall-lifting system
作者: Wang, Yue; Cui, Heng; Zhao, Yan; Wang, Zhi-qi
关键词: Gasless laparoscopy ; Pneumoperitoneum laparoscopy ; Ovarian cyst resection
刊名: JOURNAL OF ZHEJIANG UNIVERSITY-SCIENCE B
发表日期: 2009-11-01
DOI: 10.1631/jzus.B0820122
卷: 10, 期:11, 页:805-812
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Biochemistry & Molecular Biology ; Biotechnology & Applied Microbiology ; Medicine, Research & Experimental
研究领域[WOS]: Biochemistry & Molecular Biology ; Biotechnology & Applied Microbiology ; Research & Experimental Medicine
关键词[WOS]: CO2 PNEUMOPERITONEUM ; UTERINE MYOMECTOMY ; SURGERY ; INSTRUMENTS ; LEIOMYOMAS ; MANAGEMENT ; TRIAL
英文摘要:

The use of gasless laparoscopy with an abdominal wall-lifting device for benign gynecological diseases was compared to conventional laparoscopy with CO(2) pneumoperitoneum.

From February 2007 to July 2007, 76 women with uterine and/or adnexal benign diseases and candidates for laparoscopic surgery were recruited in this study. Thirty-two women underwent gasless laparoscopic surgery and 44 women underwent pneumoperitoneum laparoscopic surgery.

Diverse pathologies, including adnexal cyst, uterine myoma and ectopic pregnancy, were treated successfully with gasless laparoscopic surgery. Compared with the patients in the pneumoperitoneum group, the similar hospital stay (P=0.353) and intraoperative blood loss (P=0.157) were observed. However, the mean operative time in the gasless group was significantly longer than that in the pneumoperitoneum group (P=0.003). No severe intraoperative or postoperative complications were found in either group, except for one case of laparotomic conversion in the pneumoperitoneum group due to dense pelvic adhesions. The total hospital charges were significantly less in the gasless group than in the pneumoperitoneum group (P=0.001). In 38 cases of ovarian cyst resection, the mean operative time in the gasless group remained longer than that in the pneumoperitoneum group (P=0.017). The total hospital charges were also significantly less in the gasless group than in the pneumoperitoneum group (P < 0.001).

Our preliminary results demonstrated that the laparoscopic procedure using the gasless technique was a safe, effective method to treat benign gynecological diseases. Moreover, it was easy to master. As a minimally invasive treatment, gasless laparoscopic surgery provides a good choice to patients in the undeveloped regions in China without increasing the patients′ and the government′s burden significantly.

语种: 英语
WOS记录号: WOS:000271544200003
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/62853
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: Peking Univ, Peoples Hosp, Dept Obstet & Gynecol, Beijing 100044, Peoples R China

Recommended Citation:
Wang, Yue,Cui, Heng,Zhao, Yan,et al. Gasless laparoscopy for benign gynecological diseases using an abdominal wall-lifting system[J]. JOURNAL OF ZHEJIANG UNIVERSITY-SCIENCE B,2009,10(11):805-812.
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