[Analysis of complications following laparoscopic surgery].

OBJECTIVE

To analysis the causes, management and prevention of complications following gynecological laparoscopic surgery.

METHOD: We analysed retrospectively the clinical data of 22 cases with complications following laparoscopic surgery performed from Sep 1992 to May 1994.

RESULTS

The overall incidence of operative complications was 6.29% (22/350). Among them, 9 cases (including pneumoderma 6 and pneumo-omentum 3) were related to inappropriate CO2 insufflation. The other 10 cases were associated with bleeding, i.e. vessel injury 4 cases, hypodermal ecohymosis 5, and bleeding from the sutured site 1. The remaining 3 were omental or intestinal hernia of the incisional sites. One out of the 22 cases were turned to laparotomy. The outcomes of this group were all good.

CONCLUSIONS

The occurrence of these complications was related to the doctors experiences and skills. Therefore, well-training and practice should be emphasized in order to avoid these complications.