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題名 | Complications of Operative Laparoscopy in Gynecology=婦科腹腔鏡手術的併發症 |
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作者 | 蔡鴻德; 陳慧毅; 林武周; 徐泰彥; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷期 | 36:2 1997.06[民86.06] |
頁次 | 頁35-41 |
分類號 | 417.142 |
關鍵詞 | 腹腔鏡手術; 婦科; 併發症; Operative laparoscopy; Gynecology; Complications; |
語文 | 英文(English) |
英文摘要 | 目的:探討婦科腹腔鏡手術的併發症。方法:我們收集了500例婦科腹腔鏡手術, 分析與探討其併發症的發生。 結果:主要併發症 (2 % ) 為腹膜炎,腸塞絞痛,理查疝氣 ,出血過多,嚴重皮下氣腫,及小腸受傷。次要併發症 (0.2 ∼ 9.6 % ) 包括肩部或背部 疼痛,短暫性嘔吐或下痢,皮下氣腫,手術時間超過 6 小時, 腸塞、膀胱肌不穩定、尿液 滯留、傷口感染及上腹血管受傷。結論:如果能掌握可能發生併發症的有關知識與緊守婦科 腹腔鏡手術的原則,併發症的發生是可避免的。因此,由有經驗且細心的腹腔鏡婦科醫師來 操作腹腔鏡手術是安全的。 2%, including four cases of peritonitis, two cases of severe subcutaneous emphysema, and one case each of Richter's hernia, excessive blood loss, ileus, and intestinal injury. The rate of minor complications ranged from 0.2% to 9.6% as follows: shoulder and back pain (9.6%), emphysema (4.2%), transient nausea and/or diarrhea (3%), prolonged operation time over six hours (2.4%), prolonged postoperative ileus (1.4%), detrusor instability (0.4%), wound infection (0.2%), urinary retension (0.2%), and epigastric vessel injury (0.2%). Conclusions. This study confirms that operative laparoscopy in gynecology is safe. Most of the complications are preventable if operative laparoscopr is performed by qualified gynecologists following strict precautions. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。