Surgical Technique of Concomitant Laparoscopically Assisted Vaginal Hysterectomy and Laparoscopic Cholecystectomy

Abstract

BackgroundLaparoscopically assisted vaginal hysterectomy is one of the most frequently performed gynecologic operations, and numerous authors have demonstrated its safety and feasibility.Case presentationWe practiced in some selected cases simultaneous laparoscopically assisted vaginal total hysterectomy with bilateral adnexectomy and laparoscopic cholecystectomy using 5 trocars without uterine manipulator. Previous examinations included abdominal ultrasound, cervix biopsy and CT of abdomen and pelvis.Our aim was to evaluate the surgical technique of our initial experiences for combined laparoscopically assisted vaginal hysterectomy and laparoscopic colecystectomy.ConclusionsLaparoscopic hysterectomy had a number of advantages over the conventional technique given the underlying associated diseases, postoperative pain, rapid recovery and aesthetic benefits.

Simultaneous Operations for Liver Echinococcosis

“…Правильно выработанная тактика при симультанных операциях может привести к минимальному числу послеоперационных осложнений и обеспечить безопасность пациенту. Сопоставляя результаты нашей работы с данными публикаций других авторов, мы выявили, что количество осложнений при выполнении симультанных операций и сроки пребывания в стационаре не увеличиваются [1,2,5,18]. Анализ результатов лечения 31 пациента в срок до 2 лет и 26 в срок до 3 лет наблюдения показал, что в отдаленном периоде рецидив эхинококкоза не выявлен.…”

“…В последние годы многие исследователи отмечают увеличение числа пациентов с сочетанными заболеваниями, требующими оперативного лечения [1,2,3]. В таких случаях ранее операции чаще выполнялись последовательно, а по мере совершенствования техники операции, анестезиологических и реанимационных технологий возникла возможность одномоментно осуществить операции на двух, иногда на трех органах.…”

Evaluation of the efficacy of laparoscopic-assisted radical vaginal hysterectomy and abdominal radical hysterectomy for treating cervical cancer: a meta-analysis.

“…With improvements in laparoscopic techniques, in the late 1980s, laparoscopic-assisted radical vaginal hysterectomy (LARVH) was developed for treating cervical cancer [6,7]. Owing to the controversial clinical efficacies of LARVH and ARH, determining the better treatment option for cervical cancer is challenging [8,9]. Several studies have investigated the value of LARVH and ARH to determine the better choice for treating cervical cancer.…”

“…All comparisons between LARVH and ARH for treating early stage cervical cancers mostly focused on blood loss, hospital stay, recovery, cosmetic results, and oncologic outcomes. However, the clinical application of LARVH versus ARH in treating cervical cancer remains controversial [8,9]. The application of laparoscopic procedures in oncologic surgery has many advantages, including short hospital stay and less blood loss during the preoperative period [10].…”

Evidence on reporting guidelines for surgical technique in clinical disciplines: a scoping review protocol

“…Those with videos are often non-edited lacking corresponding subtitles or audio guidance (10), which is notably different with edited videos. A large number of studies have focused on preoperative preparation, with only a rough description of the steps and a lack of detailed implementation skills or of the "pros" and the "cons" of the reported surgical technique or when this technique is really indicated or when notindicated (11)(12)(13). In terms of randomized controlled trials of surgical techniques, the focus is on the study design and statistics, while the two surgical techniques being compared are not described in details, frequently with no more than two paragraphs (14).…”