Laparoscopic total hysterectomy vs supracervical hysterectomy: turn, turn, turn.

摘要

Hysterectomy is the most commonly performed gynecologic surgical procedure in the United States for nonobstetric indications. The bulk of these procedures will be performed through an abdominal incision (66%), followed by the vaginal route (22%) and a minimally invasive approach (12%) [1]. Most of the readership of The Journal of Minimally Invasive Gynecology, I am certain, will agree that use of a laparotomy for treatment of benign uterine disease in two-thirds of women is a true disservice to our patients. The most commonly cited obstacles to the wide adoption of the minimally invasive approach have been the surgical difficulty of and operative time necessary to perform total laparoscopic hysterectomy. For these reasons, many gynecologists are now performing the technically easier and surgically faster laparoscopic supra-cervical hysterectomy to treat benign uterine disease.