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Laparoscopic hysterectomy

Jon Ivar Einarsson, MD, PhD, MPH
Sarah L Cohen, MD, MPH
Section Editor
Tommaso Falcone, MD, FRCSC, FACOG
Deputy Editor
Kristen Eckler, MD, FACOG


Hysterectomy (surgical removal of the uterus) was first successfully performed in the 19th century using vaginal or abdominal incisions [1,2]. Innovations in technology led to the performance of the first laparoscopic hysterectomy in 1989 [3]. As of 2009 United States surveillance data, the distribution of surgical approach to hysterectomy for benign disease was 56 percent abdominal, 20 percent laparoscopic, 19 percent vaginal, and 5 percent robotic [4].

Laparoscopic surgery can be performed with conventional laparoscopic instruments or with computer assistance using robotic equipment and instruments.

Laparoscopic hysterectomy will be reviewed here. Other approaches to hysterectomy are discussed separately. (See "Abdominal hysterectomy" and "Vaginal hysterectomy" and "Radical hysterectomy" and "Choosing a route of hysterectomy for benign disease".)


Common indications for hysterectomy include [5]:

Uterine leiomyomas

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Literature review current through: Nov 2017. | This topic last updated: Sep 21, 2017.
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