| The Clinical Study of Laparoscopic Surgery. |
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Young Ah Kim, Sang Tae Ahn, Mi Yeong Jo, Seung Chul Yoo, Mi Ran Kim, Kyung Joo Hwang, Hee Sug Ryu |
1Department of Obstetrics and Gynecology, College of Medicine, Inje University, Ilsan Paik Hospital, Kyunggi, Korea.
2Department of Obstetrics and Gynecology, Ajou University School of Medicine, Ajou University, Suwon, Korea. |
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| 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. |
| Key Words:
Laparoscopy, Gynecologic diseases |
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