关键词: 子宫切除术, 子宫切除术, 阴道式, 腹腔镜, 妇科外科手术

Abstract: Hysterectomy is the most common gynecologic surgery method. Along with the advance of medical philosophy and medical apparatus and instruments, all kinds of surgical methods emerge in endlessly. At present the approaches of operation includes abdominal hysterectomy （TAH）, transvaginal hysterectomy （TVH） and laparoscopic hysterectomy（TLH）, laparoscopic single-site surgery（LESS）, transvaginal natural orifice transluminal endoscopic surgery（v-NOTES）, and robotic assisted laparoscopic surgery. For surgeons, it is the purpose of every doctor′s work to choose reasonable surgical methods and formulate standardized, humanized and individualized treatment plans according to specific conditions and on the premise of ensuring safety, so as to realize the maximum interests of patients. The author reviews the safety, feasibility, advantages and limitations of each surgical approach by reviewing domestic and foreign literatures in recent years and combining clinical experience, so as to provide references for better selection of appropriate surgical approaches for clinicians.

Key words: Hysterectomy, Hysterectomy, vaginal, Laparoscopes, Gynecologic surgical procedures