目的探讨结扎速血管闭合切割系统(LigaSure)在子宫切除术中应用价值及手术技巧。方法回顾性分析应用LigaSure血管闭合系统行完全腹腔镜下全子宫切除术156例患者临床资料。结果 156例患者均在腹腔镜下顺利完成手术,无中转开腹手术病例;手术时间1.5～2h;发生输尿管损伤1例。结论 LigaSure血管闭合系统可直接闭合大部分血管和组织血管束,有助于缩短手术时间、减少术中出血量,术后并发症少,患者恢复较快。 Objective To investigate the value and surgical technique of LigaSure in hysterectomy. Methods The clinical data of 156 cases undergoing total laparoscopic total hysterectomy with LigaSure vascular closure system were retrospectively analyzed. Results All 156 patients underwent laparoscopic surgery without laparotomy. The operative time was 1.5-2 hours and ureteral injury occurred in 1 case. Conclusion The LigaSure vascular closure system can directly close most of vascular and tissue vascular bundles, which can shorten the operation time and reduce the amount of intraoperative blood loss. The postoperative complications are less and the patients recover faster.