Abstract
Objective: Laparoscopy has begun to perform in most of the cases previously operated with laparotomy in last two decade. Clinics are carrying out different kinds of operations varying from diagnostic to oncological procedures according to their experience. We decided to present the laparoscopic operations and findings performed for diagnostic and operative reason in gynecology clinic at last six year. Material and Methods: The laparoscopic operations which performed between January 2006 and December 2011 were retrospectively evaluated. A totally 229 cases in which the laparoscopy was done for diagnostic and operative purpose was included into study. Results: The mean age, gravida, parity and living child numbers of cases were 34.5±9.0 years, 2.0±1.6, 1.9±1.6 and 1.8±1.4, respectively. The 30 of 33 cases evaluated as endometriosis intraoperative were verified as pathologically. The complication rates were 0.9% in cases with diagnostic and minor laparoscopy and 12.5% in 16 cases operated with laparoscopic hysterectomy. Conclusions: Although, the laparoscopic surgery is performed as safely and effectively in thousands of cases all over the world, the complication developing risk should be considered. The advanced operations should be carried out by experienced surgeons. We thought that the specimens should be obtained for the pathological evaluation in all cases. Key complications. Words: laparoscopy, laparoscopic surgery, laparoscopy
Keywords
References
- Jadoul P, Donnez J. Complications of laparoscopic surgery in gynecology. In: Donnez J, ed. Atlas of Operative Laparoscopy and Hysteroscopy. 3rd ed. London: Informa Healthcare, 2007;425-46.
- Camanni M, Bonino L, Delpiano EM, et al. Laparoscopy and body mass index: feasility and outcome in obese patients treated for gynecologic diseases. J Minim Invasive Gynecol 2010;17(5):576-82.
- Wang PH, Lee WL, Yuan CC, et al. Major complications of operative and diagnostic laparoscopy for gynecologic disease. J Am Assoc Gynecol Laparosc 2001;8(1):68-73.
- Chapron C, Pierre F, Querleu D, et al. Complications of laparoscopy in gynecology. Gynecol Obstet Fertil 2001;29(9):605-12.
- Chapron C, Querleu D, Bruhat MA, et al. Surgical complications of diagnostic and operative gynecological laparoscopy: a series of 29 966 cases. Human Reproduction 1998;13(4):867-72.
- Takacs P, Latchaw G, Gaitan L, et al. Risk factors for conversion to laparotomy during laparoscopic management of an ectopic pregnancy. Arch Gynecol Obstet 2005;273(1):32-4.
Abstract
Amaç: Geçen son iki dekatta, laparatomi ile yapılan olguların büyük çoğunluğu laparoskopik olarak yapılmaya başlanmıştır. Klinikler tecrübelerine göre tanısal laparoskopiden onkolojik işlemlere kadar çok değişik operasyonlar yapmaktadır. Son altı yılda kliniğimizde tanısal ve operatif nedenlerle yapılan laparoskopi operasyonlarımızı ve bulgularımızı paylaşmak istedik. Materyal ve Metod: Ocak 2006 - Aralık 2011 tarihleri arasında yapılan laparoskopik operasyonlar retrospektif olarak incelendi. Tanısal ve operatif amaçlı laparoskopi uygulanan toplam 229 olgu çalışmaya dahil edildi. Bulgular: Olguların ortalama yaşları 34.5±9.0 yıl, gravida 2.0±1.6, parite 1.9±1.6, yaşayan çocuk sayıları 1.8±1.4 olarak hesaplandı. Operasyon esnasında endometriozis olarak değerlendirilen 33 olgunun patolojik incelemesinde 30’unda bu tanı doğrulandı. Tanısal ve minör laparoskopi olgularımızda 9/1000, laparoskopik histerektomi uygulanan 16 olgumuzda ise %12.5 oranında komplikasyon saptandı. Sonuç: Laparoskopik cerrahi tüm dünyada binlerce insanda güvenle ve etkin olarak kullanılmakla beraber komplikasyon gelişme olasılığı akılda bulundurulmalıdır. İleri düzey operasyonlar daha tecrübeli cerrahlarca uygulanmalıdır. Tüm olgularda patolojik inceleme için materyal gönderilmesinin uygun olacağı kanaatindeyiz
References
- Jadoul P, Donnez J. Complications of laparoscopic surgery in gynecology. In: Donnez J, ed. Atlas of Operative Laparoscopy and Hysteroscopy. 3rd ed. London: Informa Healthcare, 2007;425-46.
- Camanni M, Bonino L, Delpiano EM, et al. Laparoscopy and body mass index: feasility and outcome in obese patients treated for gynecologic diseases. J Minim Invasive Gynecol 2010;17(5):576-82.
- Wang PH, Lee WL, Yuan CC, et al. Major complications of operative and diagnostic laparoscopy for gynecologic disease. J Am Assoc Gynecol Laparosc 2001;8(1):68-73.
- Chapron C, Pierre F, Querleu D, et al. Complications of laparoscopy in gynecology. Gynecol Obstet Fertil 2001;29(9):605-12.
- Chapron C, Querleu D, Bruhat MA, et al. Surgical complications of diagnostic and operative gynecological laparoscopy: a series of 29 966 cases. Human Reproduction 1998;13(4):867-72.
- Takacs P, Latchaw G, Gaitan L, et al. Risk factors for conversion to laparotomy during laparoscopic management of an ectopic pregnancy. Arch Gynecol Obstet 2005;273(1):32-4.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | April 1, 2014 |
| Published in Issue | Year 2014 |