ORİJİNAL ARAŞTIRMALAR
Total Abdominal Histerektomi ve Total Laparoskopik Histerektomi Yapılan Hastaların Klinik Sonuçlarının Karşılaştırılması
Comparison of Clinical Results in Patients With Total Abdominal Hysterectomy and Total Laparoscopic Hysterectomy
Received Date : 16 May 2021
Accepted Date : 12 Oct 2021
Available Online : 01 Dec 2021
Hüseyin GÖRKEMLİa, Gülnur ERENa, Tugçehan ŞİMŞEKLERa
aNecmettin Erbakan University Meram Faculty of Medicine, Department of Obstetrics and Gynecology, Konya, TURKEY
Doi: 10.24074/tjrms.2021-84488 - Makale Dili: EN
TJRMS. 2021;5(3):73-8
ÖZET
Amaç: Bu çalışmanın amacı hastanemizde yapılan total laparoskopik histerektomi (TLH) ve total abdominal histerektomi (TAH) ameliyatlarının
klinik sonuçlarını karşılaştırmaktır. Gereç ve Yöntemler: Necmettin Erbakan Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim
Dalı'na Ocak 2015-Ocak 2021 tarihleri arasında başvuran ve total histerektomi uygulanan 353 hastanın klinik kayıtları retrospektif olarak
incelendi. 152 hastaya TLH (Grup1) ve 202 hastaya TAH (Grup2) uygulandı. Hastaların ortalama yaşı, vücut kitle indeksi (BKİ), uterus hacmi,
operasyon süresi, kan kaybı miktarı, komplikasyon oranları ve postoperatif hastanede kalış süresi iki grup arasında karşılaştırıldı. Bulgular: Bu
iki grup arasında ortalama yaş, ortalama vücut kitle indeksi (VKİ), ameliyat öncesi ve sonrası hemoglobin (hb) değerleri açısından istatistiksel
olarak anlamlı fark yoktu. Her iki grupta da cerrahi için en yaygın endikasyon myoma uteri idi. Ortalama ameliyat süresi grup 1’de daha uzundu
ve bu istatistiksel olarak anlamlıydı (122,3±37,0 dakika-96,9±28,4, p <0,001). Grup 1 hastalarda ortalama hastanede kalış süresi daha kısaydı ve
bu istatistiksel olarak anlamlıydı (24.0 (24.0-48.0) h-72.0 (72-72) saat, p <0.001). TAH grubundaki hastalar daha yüksek bir ortalama örnek ağırlığına
sahipti. Sonuç: Laparoskopik histerektomi daha uzun bir operasyon süresine sahiptir. Ancak daha küçük bir kesi hattı daha az ağrı, daha
az kan kaybı ve daha hızlı iyileşme sağlar. Bu nedenle seçilmiş hastalar için avantajların daha fazla olduğu söylenebilir.
Anahtar Kelimeler: Laparoskopik histerektomi; total abdominal histerektomi; komplikasyonlar; klinik sonuçlar
ABSTRACT
Objective: The aim of our study is to compare the clinical results of total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy
(TAH) surgeries performed in our hospital. Material and Methods: The clinical records of 353 patients who applied to Necmettin Erbakan University
Faculty of Medicine, Department of Obstetrics and Gynecology between January 2015 and January 2021 and underwent total hysterectomy
were retrospectively reviewed. TLH (Group1) was applied to 152 patients and TAH (Group2) was applied to 202 patients. The mean age of the patients,
body mass index (BMI), uterine volume, operation time, amount of blood loss, complication rates and postoperative hospital stay were compared
between the two groups. Results: There was no statistically significant difference between these two groups in terms of mean age, mean body
mass index (BMI), pre- and postoperative hemoglobin (hb) values. The most common indication for surgery in both groups was myoma uteri. The
mean operative time was longer in group 1 and this was statistically significant (122.3±37.0 minutes-96.9±28.4, p <0.001). The mean hospital stay
was shorter in group 1 patients and this was statistically significant (24.0 (24.0-48.0) h-72.0 (72-72) hours, p <0.001). Patients in the TAH group had
a higher mean sample weight. Conclusion: Laparoscopic hysterectomy has a longer operation time. However, a smaller incision line provides less
pain, less blood loss and faster recovery. Therefore, it can be said that the advantages are more for selected patients.
Keywords: Laparoscopic hysterectomy; total abdominal hysterectomy; complications; clinical outcomes
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