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Objective: To investigate the clinical applied merit of laparoscopic surgery, and probe into the causes, treatment and prevention when it comes with complications.Methods: In a prospective study, 800 cases underwent surgery because of uterine myoma, fallopian pregnancy and ovarian none-malignant tumor in the First Affiliated Hospital of Shantou University Medical College from January 2008 to December 2010. All patients were divided into three different groups depending on the different entity: the UM group, the FP group and the ONT group. And every group was separated into laparotomy group and laparoscopy group, whose preoperative conditions were analyzed. Finally, the causes, treatment and prevention were interpreted when conducting with laparoscopy.Results: (1) When Group laparoscopic myomectomy was compared with the Group laparotomy myomectomy, it had smaller amount of blood loss, shorter time of passage of gas by anus and shorter hospital stay, but significantly longer surgical time. (P<0.05).In the Group laparoscopic myomectomy, three of broad ligament myoma had longer surgical time and more amount of blood loss than the others in the same group(P<0.05).(2) There was significantly difference in the observed indicators from two surgical mode in Group FP(P<0.05). (3) In Group ONT, it also had significantly difference between laparoscopic surgery and laparotomy one(P<0.05), and laparoscopic surgery showed its advantages in some indicators but surgical time. The patients suffering endometriosis in laparoscopy group needed longer surgical time and lost more amount of blood than other ones with pathological type, and their difference had statistical significance(P<0.05),but the time of passage of gas by anus did not. (4) Complications: Four patients suffered shoulder pain after laparoscopic myomectomy, accounting for 4.21%; In Group FP, there was no complication in preoperative period; In ONT Group, there were two complications: one was mild injury of colonic mucosa, and the other was the premature ovarian failure, accounting for 0.53% as well. (5)The Logistic regress showed that the patients’age, body weight, history of pelvic surgery, surgical mode, surgical time, blood loss did not affect the incidence of complication in preoperative period(P>0.05).Conclusions: (1) Nowadays, laparoscopic surgery in gynecology had already been a minimally invasive surgery, which possessed of its superiority, such as less wound, less blood loss, faster recovery, shorter time of hospital stay and so on, but in all we should balance its pros and cons before surgery. (2) As the laparoscopic surgery was applied widely, the complication accompanied inevitably, whose incidence had no relationship with the patients’age, body weight, history of pelvic surgery, surgical mode, surgical time, blood loss and so on, maybe relating with the ability, experience of surgeons and instruments.
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