Holub Z
Gynekologicko-porodnické oddĕlení, Nemocnice Kladno.
Ceska Gynekol. 2000 Nov;65(6):464-70.
To analyse entry-related laparoscopic technique and complications.
Literary review.
Department Gynaecology and Obstetrics, Endoscopic Training Centre, Hospital Kladno.
Peri- and postoperative complications of laparoscopic entry were assessed and analysed from database Medline and Current Contents.
There is helpful to classify intra-abdominal entry complications occurring after laparoscopy into the two types (type I and II). The risk of bowel damage, calculated from analysed studies was 0.4/1,000 and for major vessel injuries the risk was 0.2/1,000.
The need to perforate the abdominal wall to perform laparoscopic intraabdominal surgery will probably always be associated with risk of damaging structures beneath. With good techniques and appropriate case selection, this risk of such complications should be occure less than 1 per 1,000 laparoscopies. None of the existing techniques or technologies completely eliminate the risk of type II damage.
分析腹腔镜穿刺相关技术及并发症。
文献综述。
克拉德诺医院妇产科内镜培训中心。
从医学数据库Medline和《现刊目次》中评估并分析腹腔镜穿刺术围手术期及术后并发症。
将腹腔镜检查术后发生的腹腔内穿刺并发症分为两类（I型和II型）是有帮助的。根据分析研究计算，肠损伤风险为0.4/1000，大血管损伤风险为0.2/1000。
进行腹腔镜腹部手术时，穿透腹壁的必要性可能总是与损伤下方结构的风险相关。采用良好的技术并进行适当的病例选择，此类并发症的风险应低于每1000例腹腔镜手术1例。现有的任何技术或工艺都不能完全消除II型损伤的风险。
