Abstract
Amaç: Bir süre içinde total laparoskopik histerektominin tek
cerrah deneyimini değerlendirmek.
Gereç ve yöntem: Retrospektif tipte dizayn edilen bu çalışma
ocak ve aralık 2016 yılları arasında benign nedenli yapılan 81 total
laparoskopik histerektomi vakalarını içermektedir. İlk 6 ay ve son ay olarak 2
grupta incelenmiştir. Verilerin analizi t test kullanılarak yapılmıştır.
Bulgular: Çalışmaya dahil olan 81 hastanın en fazla
histerektomi endikasyonu endometrial hiperplazi olarak geldi. İlk 6 ay ve son
ay olarak 2 grupta incelenen hastaların yaş, parite, BMI, hastanede kalış
süresi, kan kayıpları arasında anlamlı bir fark bulunmamıştır. Tek bir cerrahın
yaptığı, ilk 6 ay ve son 6 ay total laparoskopik histerektomilerin operasyon
süreleri karşılaştırıldığında ise son 6 ayda yapılan ameliyatların süre olarak
anlamlı olarak azaldığı görülmüştür(p<0,05).
Sonuç: Belirli bir öğrenim eğrisinden sonra operasyon süresi
kısalır.
References
- 1. Walsh CA, Walsh SR, Tang TY, Slack M. Total abdominal hysterectomy versus total laparoscopic hysterectomy for benign disease: a meta-analysis. Eur J Obstet Gynecol Reprod Biol 2009;144(1):3–7.
- 2. Nieboer TE, Johnson N, Lethaby A, Tavender E, Curr E, Garry R, et al. Surgical aproach to hysterectomy for benign gynaecologi- cal disease. Cochrane Database of Syst Rev 2009; 8: CD003677.
- 3. Leonard F, Chopin N, Borghese B, Fotso A, Foulot H, Coste J, et al. Total lapa- roscopic hysterectomy: preoperative risk factors for conversion to laparotomy. J Minim Invasive Gynecol 2005;12(4):312–17.
- 4. Sokol AI, Chuang K, Milad MP. Risk factors for conversion to laparotomy during gynecologic laparoscopy. J Am Assoc Gynecol Laparosc 2003;10(4):469–73.
- 5. Hasson HM, Rotman C, Rana N, Asakura H.J. Experience with laparoscopic hysterectomy. Am Assoc Gynecol Laparosc. 1993 Nov;1(1): 1-11
- 6. Süleyman Salman, Yavuz Tahsin Ayanoğlu, Murat Bozkurt, Serkan Kumbasar , Berker Kavşi, Erkin Sertoğlu, Refika Genç Koyucu. Analysis of Total Laparoscopic Hysterectomy Performed in Our Clinic . JAREM 2015; 5: 10-3.
- 7. Davies A, Magos AL. Indications and alternatives to hysterectomy. Baillieres Clin Obstet Gynaecol 1997; 11: 61-75.
- 8. Terzi H, Kale A, Aydın AY. Kliniğimizde gerçekleştirilen laparoskopik histerektomi olgularının klinik özelliklerinin değerlendirilmesi. Kocaeli Tıp Dergisi 2012; 2: 22-5.
- 9. Johnson N, Barlow D, Lethaby A, Tavender E, Curr L, Garry R. Met- hods of hysterectomy: systematic review and meta-analysis of rando- mised controlled trials. BMJ 2005; 330: 1478.
- 10. Mäkinen J, Johansson J, Tomas C, Tomas E, Heinonen PK, Laatikai- nen T, et al. Morbidity of 10 110 hysterectomies by type of approach. Hum Reprod 2001; 16: 1473-8.
- 11. Malik E, Schmidt M, Scheidel P. Complications after 106 laparoscopic hysterectomies. Zentrabl Gynakol 1997; 119: 611-5.
Abstract
Objective: To evaluate single surgerion experience of total
laparscopic hyserectomy within a time period.
Materials and methods: This retrospective type study included
81 cases of total laparoscopic hysterectomy performed during January and
December 2016 due to benign. The first 6 months and the last month were
examined in 2 groups. Analysis of the data was done using t test.
Results: The highest hysterectomy indications of 81 patients
included in the study were endometrial hyperplasia. There were no significant
differences in age, parity, BMI, duration of hospital stay, and blood loss
between the first 6 months and the last month. When the operation periods of total
laparoscopic hysterectomies were compared between the first 6 months and the
last 6 months by a single surgeon, it was observed that the operations
performed in the last 6 months decreased significantly in duration(p<0,05).
Conclusion: The operation time significant decrease after a
certain learning curve
References
- 1. Walsh CA, Walsh SR, Tang TY, Slack M. Total abdominal hysterectomy versus total laparoscopic hysterectomy for benign disease: a meta-analysis. Eur J Obstet Gynecol Reprod Biol 2009;144(1):3–7.
- 2. Nieboer TE, Johnson N, Lethaby A, Tavender E, Curr E, Garry R, et al. Surgical aproach to hysterectomy for benign gynaecologi- cal disease. Cochrane Database of Syst Rev 2009; 8: CD003677.
- 3. Leonard F, Chopin N, Borghese B, Fotso A, Foulot H, Coste J, et al. Total lapa- roscopic hysterectomy: preoperative risk factors for conversion to laparotomy. J Minim Invasive Gynecol 2005;12(4):312–17.
- 4. Sokol AI, Chuang K, Milad MP. Risk factors for conversion to laparotomy during gynecologic laparoscopy. J Am Assoc Gynecol Laparosc 2003;10(4):469–73.
- 5. Hasson HM, Rotman C, Rana N, Asakura H.J. Experience with laparoscopic hysterectomy. Am Assoc Gynecol Laparosc. 1993 Nov;1(1): 1-11
- 6. Süleyman Salman, Yavuz Tahsin Ayanoğlu, Murat Bozkurt, Serkan Kumbasar , Berker Kavşi, Erkin Sertoğlu, Refika Genç Koyucu. Analysis of Total Laparoscopic Hysterectomy Performed in Our Clinic . JAREM 2015; 5: 10-3.
- 7. Davies A, Magos AL. Indications and alternatives to hysterectomy. Baillieres Clin Obstet Gynaecol 1997; 11: 61-75.
- 8. Terzi H, Kale A, Aydın AY. Kliniğimizde gerçekleştirilen laparoskopik histerektomi olgularının klinik özelliklerinin değerlendirilmesi. Kocaeli Tıp Dergisi 2012; 2: 22-5.
- 9. Johnson N, Barlow D, Lethaby A, Tavender E, Curr L, Garry R. Met- hods of hysterectomy: systematic review and meta-analysis of rando- mised controlled trials. BMJ 2005; 330: 1478.
- 10. Mäkinen J, Johansson J, Tomas C, Tomas E, Heinonen PK, Laatikai- nen T, et al. Morbidity of 10 110 hysterectomies by type of approach. Hum Reprod 2001; 16: 1473-8.
- 11. Malik E, Schmidt M, Scheidel P. Complications after 106 laparoscopic hysterectomies. Zentrabl Gynakol 1997; 119: 611-5.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research |
| Authors | |
| Publication Date | March 5, 2018 |
| Published in Issue | Year 2018 Volume: 49 Issue: 1 |
