Related influencing factors of complications after gynecological laparoscopic surgery
10.11659/jjssx.06E014279
- VernacularTitle:妇科腹腔镜手术并发症的发生情况及相关影响因素研究
- Author:
Xiaoyan ZHANG
- Publication Type:Journal Article
- Keywords:
gynecology;
laparoscopic surgery;
complications;
influence factors
- From:
Journal of Regional Anatomy and Operative Surgery
2015;(3):324-326,327
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the risk factors of the complications of laparoscopic gynecologic operation,and put forward the basis for the prevention and control of complications. Methods The related factors of complications in 112 patients in our hospital from June 2011 to December 2013 were retrospectively analyzed. Results There were 26 patients with complications,the incidence rate was 23. 2%,of which 5 cases with subcutaneous emphysema,5 cases with massive hemorrhage,8 cases with postoperative infection,4 cases with deep venous throm-bosis of the lower extremity,1 cases with pleural effusion,1 cases with intestinal injury,2 cases with intestinal obstruction. Univariate analysis and multivariate regression analysis showed that the type of surgery, work experience of doctors,previous abdominal surgery,history of endometriosis were an independent risk factor for complications of laparoscopic surgery (P<0. 05). Conclusion Excessive blood loss and postoperative infection in laparoscopic gynecologic operation are the most common,patients with a history of endometriosis and abdominal operation are more likely to get complications. And the higher level the operation is,or less experience the surgeon has,the more risk to happen complication.
