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Published on: September 12, 2025
Laparoscopic supracervical hysterectomy compared to total hysterectomy
Lucio Cipullo1, Sania De Paoli, Luigi Fasolino
1Department of Obstetrics and Gynaecology, Azienda Ospedaliera Universitaria, Salerno, Italy. luciocipullo@hotmail.com
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|October 2, 2009
Summary
Laparoscopic supracervical hysterectomy (LSH) offers a shorter operation time and fewer major complications compared to laparoscopic total hysterectomy (TLH). LSH is a viable alternative to TLH when specific indications for TLH are absent.
Area of Science:
- Gynecologic Surgery
- Minimally Invasive Procedures
- Surgical Outcomes
Background:
- Laparoscopic hysterectomy is a common gynecologic procedure.
- Comparison between laparoscopic supracervical hysterectomy (LSH) and laparoscopic total hysterectomy (TLH) is essential for surgical decision-making.
Purpose of the Study:
- To compare the perioperative outcomes of LSH versus TLH.
- To evaluate the safety and efficacy of LSH as an alternative to TLH.
Main Methods:
- Retrospective cohort study comparing 157 patients undergoing TLH with 157 patients undergoing LSH.
- Analysis of perioperative data including operation time, complication rates, and patient characteristics.
- Data collected from October 2000 to November 2007.
Main Results:
- LSH group had a shorter operative time (100 min) than the TLH group (110 min).
- Major complication rates were significantly lower in the LSH group (1.3%) compared to the TLH group (4.5%).
- Minor complication rates were similar between both groups (13.4% for LSH vs. 13.3% for TLH).
Conclusions:
- Laparoscopic supracervical hysterectomy (LSH) is a safe and effective alternative to laparoscopic total hysterectomy (TLH).
- LSH is recommended when there are no specific indications for TLH.
- Patients should be counseled on the potential risks of cyclical bleeding and reoperation with LSH.
