妇科电视腹腔镜手术中转开腹的分析

Analysis of conversion into laparotomy duing gynecologic laparoscopic surgery.

目的 分析必要的中转开腹在妇科腹腔镜手术中对减少并发症的临床应用价值。方法 对 2 96例采用电视腹腔镜手术技术的妇科手术进行总结分析 ,探讨其中转开腹的原因。结果 2 96例患者中有 2 87例在电视腹腔镜下顺利完成 ,9例因各种原因术中转为开腹完成手术 ,中转开腹率 3 1 %。结论 妇科腹腔镜手术中遇到严重的盆腔粘连 ,内出血止血困难 ,泌尿道损伤 ,未预计的恶性肿瘤 ,尝试新手术失败 。

Objective To analyse the clinic value of necessary coversion into traditional surgery for reducing complication rates during the process of gynecologic laparoscopy. Methods Summing up and analysing 296 cases of gynecologic operation by the television celioscope, studying its reasons of conversion into open surgery during 296 cases of gynecology operation. Results In 296 cases, 287 cases had been performed operation through laparoscope successfully, another 9 cases had to be changed to laparotomy for other reasons, the rate of conversion into open surgery was 3 1%. Conclusions Timely conversion to laparotomy may be a wise choice once intensive adhesion on severe bleedings or unexpected malignant tumors or urinary injury come up duing gynecologic video laparoscopic procedures.