抄録
Objective: To clarify the trends in indication and outcome of our laparoscopic techniques for gynecological disease
Design: Retrospective cohort study
Setting: Tertiary care university hospital
Patients: 520 cases who performed laparoscopic surgery in our institution from 2001 to 2011
Intervention: Retrospective analysis
Main outcome, Measure: We retrospectively reviewed the status of laparoscopic surgery in our institution over an 11-year period.
Results: The median age of patients undergoing such procedure was 31.0 years old (11-76), and the most frequent operative diagnosis was benign ovarian tumor (349 cases, 67.1%), followed by ectopic pregnancy (73 cases, 14.0%), and investigation of infertility (30 cases, 5.8%). Most cases received the procedure for ovarian disease, and only 15 cases (2.9%) received laparoscopic surgery for uterine disease. The number of conversions to laparotomy was 7 cases (1.3%). Two cases with massive bleeding requiring blood transfusion and 3 cases with digestive tract injury, recognized as a surgical complication. Postoperative complications included 2 cases with infection and one case with ileus requiring surgical treatment.
Conclusion: The number of laparoscopic surgeries in our institution is increasing, following a general trend. Although our incidence of digestive tract injury was slightly higher than that of the general probability, the outcomes of our laparoscopic surgeries have been acceptable. Nevertheless, we need fewer cases of surgery for uterine disease compared to other facilities in Japan. Our next step is to increase the number of laparoscopic surgeries, expanding the indication of laparoscopic surgery, especially for uterine disease.
