Abstract: Objective: To explore the feasibility and clinical effect of the application of laparoscopy in the complicated hysterectomy. Methods：This is a retrospective analysis on 86 cases with the complicated laparoscopic hysterectomy （ｔｈｅ ｏｂｓｅｒｖａｔｉｏｎ ｇｒｏｕｐ） performed from May 2012 to May 2014 in our hospital. 86 patients with usual laparoscopic hysterectomy were assigned as the control group. The operation time, intraoperative blood loss, incidence of transfer laparotomy, vice injury, rate of postoperative diseases, anal exhaust time, average days of hospital stay, and postoperative patient satisfaction, were compared between the two groups. Results：The operation time and bleeding amount during operation in the observation group were significantly higher than those in the control group [（154.60±44.67） min vs. （89.13±13.79） min; （210.47±138.93） mL vs. （70.93±43.57） mL，both P＜0.05]. There were not significant differences in the transfer laparotomy rate, vice injury incidence, anus exhaust time, hospital stay, postoperative disease rate and postoperative satisfaction between the two groups （all P＞0.0５）． Conclusions：Compared with laproscopic hysterectomy, the complicated hysterectomy under laparoscopy does not increase the risk of operation and complications，with the advantages of small trauma and faster recovery.

Key words: Laparoscopes, Laparoscopy, Hysterectomy, Adhesions, Gynecologic surgical procedures