Scharl A, Costa S D, Duell N, Göhring U-J, Gaetje R
Frauenklinik des Klinikums St. Marien Amberg.
Zentralbl Gynakol. 2005 Dec;127(6):380-4. doi: 10.1055/s-2005-836905.
Laparoscopy is used for most surgical procedures in gynaecology. In general complications are rare. However, one of the most critical steps is the initial laparoscopic entry into the peritoneal cavity. According to the literature serious complications occur in approximately 1-2/1 000 cases. Whereas major vascular injuries are mainly recognised immediately, delayed recognition of bowel injuries is frequent. Complication rates of different entry procedures used in gynaecological laparoscopy are similar even in high risk patients (intraperitoneal adhesions, obesity). Utilising an open - instead a closed - entry (either by Veress needle or first trocar) technique or alternativ entry positions are suggested by some authors. This review presents data available in the literature and highlights that open laparoscopy is no gold standard.
腹腔镜检查用于大多数妇科手术。一般来说，并发症很少见。然而，最关键的步骤之一是腹腔镜首次进入腹腔。根据文献，严重并发症大约在每1000例中发生1 - 2例。虽然主要血管损伤大多能立即被识别，但肠损伤常常延迟被发现。即使在高危患者（腹腔内粘连、肥胖）中，妇科腹腔镜检查中使用的不同进入方法的并发症发生率也是相似的。一些作者建议采用开放而非闭合的进入技术（通过韦雷氏针或第一套管针），或者选择其他进入位置。本综述展示了文献中的可用数据，并强调开放腹腔镜检查并非金标准。
