妇科腹腔镜手术中转开腹原因分析

目的探讨妇科腹腔镜手术中转开腹的原因。方法回顾分析2003年1月至2007年12月我院1700例妇科腹腔镜手术的临床资料,其中中转开腹25例。结果中转开腹的原因为盆腔粘连10例、子宫肌瘤部位特殊5例、并发症1例、恶性肿瘤5例、术中出血4例。结论妇科良性疾病因腹腔镜操作困难中转开腹为第一位原因。腹腔镜手术时第一步术中评估至关重要,如估计腹腔镜下操作困难应尽早中转开腹,可以减少并发症的发生。

Objective To study the clinical factors in conversion from gynecological laparoscopy to laparotomy. Methods Laparosoopic surgery that was performed in 1700 gynecologic patients wintin the recent 5 years was reviewed restrospectively.Among them,25 patients were convert to laparotomy. Results Causes converted to laparotomy were10 pelvic adhension, 5 peculiar location of uterus myoma, l complication, 5 malignant toumors, 4 bleeding. Conclusions Benign disease with difficulty skills laparoscopy is the first reason in conversion from laparosoopic surgery to open approach.The evaluation is very important in laparosoopic surgery. Conversion to open approach immediately can decrease the complication if lapaprosoopic surgery was evaluated difficult.