Peterson H B, Hulka J F, Phillips J M
Department of Gynecology and Obstetrics, Emory University School of Medicine Atlanta, Georgia.
Zentralbl Gynakol. 1990;112(24):1497-500.
The American Association of Gynecologic Laparoscopists' (AAGL) 1988 Membership Survey on Operative Laparoscopy had a response rate of 24%. A total of 880 respondents reported performing 36928 operative laparoscopy procedures. A total of 75% of the respondents reported performing 47 or fewer operative laparoscopy procedures. A total of 75% of the respondents reported performing 47 or fewer procedures. The most frequently conditions managed by operative laparoscopy were endometrial implants, extensive adhesions, and ovarian cysts. Most operative laparoscopies were performed because of infertility (40%) or pelvic pain (41%). The overall serious complication rate was 15.4 per 1,000 procedures. Complications which occurred in more than 1 per 1,000 procedures included hospitalization greater than 72 hours, persistent HCG titer elevation after ectopic pregnancy, hospital readmission, and unintended laparotomy to manage bowel injury, urinary tract injury, and hemorrhage. Two deaths (5.4 per 100,000 procedures) were reported.
美国妇科腹腔镜医师协会（AAGL）1988年进行的关于手术腹腔镜检查的会员调查，回复率为24%。共有880名受访者报告实施了36928例手术腹腔镜检查。共有75%的受访者报告实施了47例或更少的手术腹腔镜检查。共有75%的受访者报告实施了47例或更少的手术。手术腹腔镜检查最常处理的病症是子宫内膜异位症、广泛粘连和卵巢囊肿。大多数手术腹腔镜检查是因不孕（40%）或盆腔疼痛（41%）而进行的。总体严重并发症发生率为每1000例手术15.4例。每1000例手术中发生超过1例的并发症包括住院时间超过72小时、宫外孕后持续的人绒毛膜促性腺激素（HCG）滴度升高、再次入院以及为处理肠损伤、尿路损伤和出血而意外进行剖腹手术。报告了两例死亡（每100000例手术5.4例）。
