Analysis for conversions to open surgery in gynecological laparoscopic operations
- VernacularTitle:妇科腹腔镜手术中转开腹的原因分析
- Author:
Hong WANG
;
Xuhong FANG
- Publication Type:Journal Article
- Keywords:
Laparoscopic surgery;
Open surgery;
Pelvic adhesion;
Hysteromyoma;
Ovarian tumor
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study reasons for conversions to open surgery in gynecological laparoscopic operations.Methods Clinical records of 53 cases of conversions to open surgery out of 1 066 cases of gynecological laparoscopic operations from January 2000 to March 2005 in this hospital were analyzed retrospectively.Results The reasons for conversions included pelvic adhesion in 23 cases,difficulty in myomectomy in 10 cases,malignant tumors in 9 cases,and intraoperative complications in 3 cases,accounting for 43.4%(23/53),18.9%(10/53),17.0%(9/53),and 5.7%(3/53) of the 53 cases,respectively.Conclusions Pelvic adhesion,which leads to difficulties in laparoscopic performance,is the primary reason for conversion to open surgery.Proper patient selection and improved capability for distinguishing benign ovarian tumors from malignant ones can decrease the incidence of conversions.
