Reasons and prophylaxes of conversion to laparotomy during gynecological laparescopic surgery
- VernacularTitle:妇科腹腔镜手术中转开腹的原因及预防
- Author:
Xiaoning YANG
;
Liping XIAO
;
Hongling HUANG
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Conversion to laparotomy;
Adhesion
- From:
Chinese Journal of Postgraduates of Medicine
2008;31(36):6-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the reasons and prophylaxes of conversion to laparotomy during gy-necological laparoscopic surgery. Method Clinical records of 36 cases of conversion to laparotomy out of 1143 cases of gynecological laparescopic surgery were analyzed retrospectively. Results The rate of conver-sion to laparotomy was 3.15%. The reasons of conversion to laparotomy were abdominopelvic cavity adhesion in 23 cases, technical difficulty and complication in 8 cases, malignant tumor in 3 cases, accounting for 63.89%, 22.22%, 8.33%, respectively. The rate of conversion to hparotomy in patients with a history of laparotomy was significantly higher than that without a history of laparotomy. The rate of conversion to laparoto-my in early stage of developing laparoscopic surgery was significantly higher than that in other stages. Con-clusions Abdominopelvic cavity adhesion is the primary reason of conversion to laparotomy during gyneco-logical laparoscopic surgery. Careful evaluation before surgery and improving ability of performance can de-crease the rate of conversion to laparotomy.
