A critical review of laparoscopic total hysterectomy versus laparoscopic supracervical hysterectomy

Moria, Anwar; Tulandi, Togas

doi:10.1007/s10397-010-0629-5

Table 1 Studies comparing laparoscopic total hysterectomy (LTH) and laparoscopic supracervical hysterectomy (LASH)

From: A critical review of laparoscopic total hysterectomy versus laparoscopic supracervical hysterectomy

Authors	Design	Number of patients	Author’s conclusion
Morelli et al. 2007 [25]	Randomized trial	71 LASH	No statistically significant difference in surgical complications and clinical outcomes
Morelli et al. 2007 [25]	Randomized trial	70 LTH
Harmanli et al. 2009 [11]	Retrospective	566 LASH	Similar overall short-term morbidity
Harmanli et al. 2009 [11]	Retrospective	450 LTH	Small statistically significant increase risk of urinary tract injury with LTH
Mueller et al. 2009 [12]	Prospective	118 LASH	LTH is comparable to LASH
Mueller et al. 2009 [12]	Prospective	113 LTH	Complication rates might be lower with LASH
Van Evert et al. 2010 [16]	Retrospective	192 LASH	LASH is associated with higher long term complications, while LTH is associated with higher short term complications
Van Evert et al. 2010 [16]	Retrospective	198 LTH
Mousa et al. 2009 [13]	Retrospective	122 LASH	LTH is associated with longer operating time, but requires less postoperative analgesia than LASH
Mousa et al. 2009 [13]	Retrospective	105 LTH
Cipullo et al. 2009 [14]	Retrospective	157 LASH	LSH is a valid alternative to LTH
Cipullo et al. 2009 [14]	Retrospective	157 LTH	Major complications in LASH are significantly less than those in LTH
Kafy et al. 2009 [17]	Retrospective	40 LASH	Both procedures result in similar improvement of general health, body image, sexual function, gastrointestinal and genitourinary functions
Kafy et al. 2009 [17]	Retrospective	40 LTH
Nam et al. 2008 [18]	Prospective	39 LASH	No significant change in quality of sexual life after either procedure
Nam et al. 2008 [18]	Prospective	51 LTH

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