| A Clinical Study on 1594 Cases of Operative and Diagnostic Laparoscopy. |
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No Jun Lee, Jung Kim, Sang Hee Lee, Woon Min Choi, Soo Sun Lee, Yong Il Kwon, Tae Chul Park, Jin Woo Lee |
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Department of Obstetrics and Gynecology, The Catholic University of Korea, College of Medicine, Seoul, Korea. |
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| Abstract |
OBJECTIVE
Laparoscopic surgery provides patients with the benefits of shortened hospital stay and faster return to normal activity. The objective is to evaluate the efficacy of laparoscopic surgery in gynecologic patients. METHODS: From January, 1999 to December, 2002, total 1594 patients were performed laparoscopic surgery at Uijongbu St. Mary's Hospital. We reviewed the medical record and analyzed these cases about age, parity, diagnosis, name of operation, operation time, duration of hospitalization and side effect. RESULTS: The results of this study summarized as follows: 1. The mean age of patients was 34.0 years old and the great incidence occurred in 26-30 years old group (24.7%). 2. The average parity of patients was 1.05. 3. The common indications were ovarian cyst (34.4%), myoma uteri (19.1%), infertility (9.5%), ectopic pregnancy (15.0%), etc. In diagnostic pelviscopy, the most common indication was infertility (50.6%), and ovarian cyst (38.3%) was the most common indication in operative pelviscopy. 4. The major types of operative pelviscopy were cystectomy, LAVH, TLH, salpingectomy, adnexectomy, electrocauterization. 5. The mean duration of hospitalization was 3.72 days. 6. The major complication of surgery were intestinal injury, postoperative paralytic ileus, bleeding at resection site, but they were controlled without difficulty. CONCLUSION: Pelviscopic surgery is useful and recommended for the treatment of gynecologic disease, because this is safe and has many advantages. |
| Key Words:
Laparoscopy, LAVH (laparascopic assistant vaginal hysterectomy), TLH (total laparascopic hysterectomy) |
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