Slack A, Child T, Lindsey I, Kennedy S, Cunningham C, Mortensen N, Koninckx P, McVeigh E
Nuffield Department of Obstetrics and Gynaecology, John Radcliffe Hospital, Oxford, UK.
BJOG. 2007 Oct;114(10):1278-82. doi: 10.1111/j.1471-0528.2007.01477.x.
To report the short- and medium-term complications of laparoscopic laser excisional surgery for rectovaginal endometriosis.
Retrospective cohort study.
University teaching hospital, UK.
A total of 128 women with histologically confirmed rectovaginal endometriosis who underwent laparoscopic laser surgery between May 1999 and September 2006.
Women were identified from operative database, and a case note review was performed. Data for surgical outcome and surgical complications were collected.
Rates of urinary tract and colorectal complications.
A total of 128 women underwent surgery. Of these, 32 required intraoperative closure of a rectal wall defect, including 3 segmental rectosigmoid resections. There were three rectovaginal fistulae and one ureterovaginal fistula. Ureteric damage occurred in two women, and five women suffered postoperative urinary retention. The risk of intraoperative bowel intervention was increased in women who complained of cyclical rectal bleeding.
Laparoscopic laser excision of rectovaginal endometriosis is a safe procedure with similar, if not lower, complication rates to other published surgical series.
报告腹腔镜激光切除术治疗直肠阴道子宫内膜异位症的短期和中期并发症。
回顾性队列研究。
英国大学教学医院。
1999年5月至2006年9月间共128例经组织学确诊为直肠阴道子宫内膜异位症并接受腹腔镜激光手术的女性。
从手术数据库中识别出这些女性，并对病历进行回顾。收集手术结果和手术并发症的数据。
泌尿系统和结直肠并发症的发生率。
共有128名女性接受了手术。其中，32例需要在术中关闭直肠壁缺损，包括3例乙状结肠直肠部分切除术。出现了3例直肠阴道瘘和1例输尿管阴道瘘。2名女性发生输尿管损伤，5名女性术后出现尿潴留。主诉周期性直肠出血的女性术中肠道干预的风险增加。
腹腔镜激光切除直肠阴道子宫内膜异位症是一种安全的手术，其并发症发生率与其他已发表的手术系列相似，甚至更低。
