[摘要] 目的 探讨巨大子宫经腹腔镜切除的安全性、手术技巧和临床价值。方法 分析该院178例行经腹腔镜巨大子宫切除术(子宫>孕12周)的临床资料。结果 所有手术均经腹腔镜完成，无一例手术并发症发生。手术时间：(89.4±31.6)min；出血量：(94.5±48.3)mL。平均住院时间4.8 d。结论 经腹腔镜巨大子宫切除术安全可行，但应选好适应症，术者具备较高的腹腔镜操作水平。

    [关键词] 腹腔镜；全子宫切除术；巨大子宫

    [中图分类号] R713.4 [文献标识码] A [文章编号] 1674-0742(2015)05(c)-0018-02

    [Abstract] Objective To investigate the clinical value and operating techniques of laparoscopic hysterectomy for gigantic uter. Methods 178 patients whose uteris were larger than twelve-weeks pmgnant uteri accepted aparoscopic hysterectomy and their clinical data were analyzed retrospectively. Results All operations were performed successfully under laparoseopy. No operating complication happened in any cases.The operating time was (89.4±31.6)min ......