Korean J Obstet Gynecol.  2003 Apr;46(4):713-718.

The Clinical Study of Laparoscopic Surgery

• Kim YA
• Ahn ST
• Jo MY
• Yoo SC
• Kim MR
• Hwang KJ
• Ryu HS

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.

Keyword

Laparoscopy; Gynecologic diseases

MeSH Terms

Cystectomy
Endometriosis
Fallopian Tube Diseases
Female
Fever
Genital Diseases, Female
Gynecology
Hematoma
Humans
Hysterectomy, Vaginal
Ileus
Infertility
Laparoscopy*
Laparotomy
Length of Stay
Myoma
Obstetrics
Ovariectomy
Pelvic Inflammatory Disease
Pregnancy
Pregnancy, Ectopic
Retrospective Studies
Salpingectomy
Surgical Instruments
Uterus