The Clinical Study of Laparoscopic Surgery.
- Author:
Young Ah KIM
1
;
Sang Tae AHN
;
Mi Yeong JO
;
Seung Chul YOO
;
Mi Ran KIM
;
Kyung Joo HWANG
;
Hee Sug RYU
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, Inje University, Ilsan Paik Hospital, Kyunggi, Korea.
- Publication Type:Original Article
- Keywords:
Laparoscopy;
Gynecologic diseases
- MeSH:
Cystectomy;
Endometriosis;
Fallopian Tube Diseases;
Female;
Fever;
Genital Diseases, Female;
Gynecology;
Hematoma;
Humans;
Hysterectomy, Vaginal;
Ileus;
Infertility;
Laparoscopy*;
Laparotomy;
Length of Stay;
Myoma;
Obstetrics;
Ovariectomy;
Pelvic Inflammatory Disease;
Pregnancy;
Pregnancy, Ectopic;
Retrospective Studies;
Salpingectomy;
Surgical Instruments;
Uterus
- From:Korean Journal of Obstetrics and Gynecology
2003;46(4):713-718
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To assess the advantages, disadvantages, applicability, and complications of laparoscopy in gynecologic diseases. MATERIALS AND METHODS: A retrospective case series which includes 1711 patients who underwent laparoscopic surgery at Department of Obstetrics and Gynecology, Ajou University Hospital from June, 1994 to August, 2001 for gynecologic diseases. RESULTS: The patient's ages ranged from 11 to 77 years, and their mean age was 31.5 years. The indications of laparoscopy were ectopic pregnancy in 626 cases (36.6%), endometriosis, ovarian tumor, secondary infertility, tubal obstruction, primary infertility, myoma of the uterus, pelvic adhesion, and pelvic inflammatory disease in order. The operations performed were salpingectomy in 589 cases (34.4%), diagnostic laparoscopy, ovarian cystectomy, fulguration, salpingo-oophorectomy, laparoscopic-assisted vaginal hysterectomy, fimbrioplaty, oophorectomy, and myomectomy in order. Operation times were from 5 to 260 minutes (mean: 60.6 minutes). Postoperative hospital stays were from 0 day to 29 days (mean: 2.3 days). There were 18 surgical complications including 1 trocar site hematoma, 3 incision site infections, 9 postoperative fever, 2 postopertive ileus and 3 patinets underwnet expolatory laparotomy because of severe adhesion. CONCLUSION: We conclude that operative laparoscopy is useful in gynecologic diseases but need development of laparoscopic equipments, research of operative method, extension of operative indications, and skilled laparoscopic surgeons.
