Laparoscopic supracervical hysterectomy with transcervical morcellation: initial experience.

摘要

STUDY OBJECTIVE: To describe a novel method for morcellation at laparoscopic supracervical hysterectomy and to define its potential benefits. DESIGN: Retrospective observational study (Canadian Task Force classification III). SETTING: Hospital-based urogynecology and general gynecology practice and a single community teaching hospital of a university medical school. PATIENTS: The first 51 women to undergo laparoscopic supracervical hysterectomy with transcervical morcellation at a single institution. INTERVENTION: A novel surgical technique that uses a transcervical approach for morcellation of the uterine fundus after amputation from, and coring of, the cervix. MEASUREMENTS AND MAIN RESULTS: Laparoscopic supracervical hysterectomy with transcervical morcellation was completed successfully in all 51 patients. Mean (SD) operating time for laparoscopic supracervical hysterectomy with transcervical morcellation alone was 64.3 (28.4) minutes, and median hospital stay was 1 day. There were no intraoperative or postoperative complications related to transcervical morcellation at a median (range) follow-up of 4.4 (1.6-11.7) months. CONCLUSION: Laparoscopic supracervical hysterectomy with transcervical morcellation is a feasible procedure that removes the cervical core and does not require enlarging an abdominal port site for introduction of the uterine morcellator.