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已发表论文
革新外科精准度：腹腔镜全子宫切除术中关节式内镜线性切割器的病例报告
Authors Liu FY, Guo Y, Chen QC, Hao S, Zhang CL, Ding DN, Liu SX, Zhang JX, Han FJ
Received 16 May 2025
Accepted for publication 11 October 2025
Published 27 October 2025 Volume 2025:17 Pages 3907—3912
DOI https://doi.org/10.2147/IJWH.S541001
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Marleen van Gelder
Fang-Yuan Liu,1,2 Ying Guo,2 Qiao-Chu Chen,1 Songli Hao,2 Chun-Lan Zhang,2 Dan-Ni Ding,1 Shao-Xuan Liu,1 Jing-Xin Zhang,2 Feng-Juan Han2
1Graduate School, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, People’s Republic of China; 2Third Department of Gynecology, The First Affiliated Hospital Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, People’s Republic of China
Correspondence: Feng-Juan Han, Third Department of Gynecology, The First Affiliated Hospital Heilongjiang University of Chinese Medicine, No. 26, Heping Road, Xiangfang District, Harbin, Heilongjiang, 150040, People’s Republic of China, Email hanfengjuan2004@163.com
Abstract: Uterine fibroids are a common benign gynecological condition, and laparoscopic total hysterectomy (LTH) remains a well-established treatment option. For patients with severe anemia or limited tolerance for prolonged anesthesia, reducing operative time, minimizing intraoperative blood loss, and preventing complications are key clinical challenges. We report the case of a 45-year-old Chinese woman with uterine fibroids presenting with dysmenorrhea and menorrhagia. During her laparoscopic total hysterectomy, bilateral fallopian tubes, round ligaments, broad ligaments, and proper ovarian ligaments were clearly exposed. An articulating endoscopic linear cutter was utilized to clamp and transect the uterine ligaments bilaterally. The procedure was completed in 115 minutes with an estimated intraoperative blood loss of 80 mL. The patient recovered fully without any postoperative complications. This case indicates that the use of an articulating endoscopic linear cutter in laparoscopic total hysterectomy may facilitate shorter operative times and reduced intraoperative blood loss, while maintaining surgical safety.
Keywords: articulating endoscopic linear cutter, laparoscopic total hysterectomy, uterine fibroid, case report
1Graduate School, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, People’s Republic of China; 2Third Department of Gynecology, The First Affiliated Hospital Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, People’s Republic of China
Correspondence: Feng-Juan Han, Third Department of Gynecology, The First Affiliated Hospital Heilongjiang University of Chinese Medicine, No. 26, Heping Road, Xiangfang District, Harbin, Heilongjiang, 150040, People’s Republic of China, Email hanfengjuan2004@163.com
Abstract: Uterine fibroids are a common benign gynecological condition, and laparoscopic total hysterectomy (LTH) remains a well-established treatment option. For patients with severe anemia or limited tolerance for prolonged anesthesia, reducing operative time, minimizing intraoperative blood loss, and preventing complications are key clinical challenges. We report the case of a 45-year-old Chinese woman with uterine fibroids presenting with dysmenorrhea and menorrhagia. During her laparoscopic total hysterectomy, bilateral fallopian tubes, round ligaments, broad ligaments, and proper ovarian ligaments were clearly exposed. An articulating endoscopic linear cutter was utilized to clamp and transect the uterine ligaments bilaterally. The procedure was completed in 115 minutes with an estimated intraoperative blood loss of 80 mL. The patient recovered fully without any postoperative complications. This case indicates that the use of an articulating endoscopic linear cutter in laparoscopic total hysterectomy may facilitate shorter operative times and reduced intraoperative blood loss, while maintaining surgical safety.
Keywords: articulating endoscopic linear cutter, laparoscopic total hysterectomy, uterine fibroid, case report