Sadik S, Onoglu A S, Mendilcioglu I, Sehirali S, Sipahi C, Taskin O
Department of Obstetrics and Gynecology, School of Medicine, Akdeniz University, Dumlupinar Bulvari, Arapsuyu, Antalya, Turkey.
J Am Assoc Gynecol Laparosc. 2000 Nov;7(4):569-72. doi: 10.1016/s1074-3804(05)60377-5.
Urinary tract injuries are important complications of laparoscopic surgery. The intraoperative diagnosis may be delayed, resulting in severe clinical complications, such as fistulas, in the immediate and late postoperative periods. A review of 776 endoscopic procedures revealed 6 urinary tract injuries and postoperative complications during laparoscopy. We believe that surgical experience, intraoperative diagnosis, immediate repair of the lesion, and close follow-up are the main factors contributing to decreased morbidity associated with these injuries.
尿路损伤是腹腔镜手术的重要并发症。术中诊断可能会延迟,从而导致严重的临床并发症,如术后近期和远期的瘘管形成。对776例内镜手术的回顾显示,腹腔镜检查期间有6例尿路损伤及术后并发症。我们认为手术经验、术中诊断、及时修复损伤以及密切随访是降低这些损伤相关发病率的主要因素。