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妇科腹腔镜手术术中并发症的防治：实用技巧与窍门——一篇叙述性综述

Prevention and Treatment of Intraoperative Complications During Gynecological Laparoscopic Surgery: Practical Tips and Tricks-A Narrative Review.

作者信息

Giorgi Matteo, Schettini Giorgia, La Banca Luca, Cannoni Alberto, Ginetti Alessandro, Colombi Irene, Habib Nassir, Rovira Ramon, Martire Francesco, Lazzeri Lucia, Zupi Errico, Centini Gabriele

机构信息

Obstetrics and Gynecology Unit, Valdarno Hospital, Montevarchi, 52025, Arezzo, Italy.

Department of Molecular and Developmental Medicine, Obstetrics, Gynecological Clinic University of Siena, 51300, Siena, Italy.

出版信息

Adv Ther. 2025 May;42(5):2089-2117. doi: 10.1007/s12325-025-03165-z. Epub 2025 Mar 19.

DOI:10.1007/s12325-025-03165-z
PMID:40106176
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12006249/
Abstract

Several complications can occur during laparoscopic gynecological surgery. The insertion of trocars and the induction of pneumoperitoneum are essential steps, but they can still pose potential risks during laparoscopic surgery. Bowel injuries are the most common during gynecological procedures as a result of thermal damage and trocar placement, while vessel injuries may carry a high mortality rate. Gynecologic surgeons should be aware of the risks associated with laparoscopic procedures and be able to prevent and treat potential complications. We conducted a literature search using three electronic databases (Pubmed/MEDLINE, Google Scholar, Embase) from inception to May 2024 to identify the most common intraoperative gynecological laparoscopic complications, including those related to trocar insertion, bowel, urinary, and vessel injury. The aim of this narrative review is to describe the most common complications during gynecological laparoscopic surgery and to outline the safety rules and techniques necessary for their prevention and treatment.

摘要

腹腔镜妇科手术过程中可能会出现多种并发症。套管针的插入和气腹的建立是关键步骤，但在腹腔镜手术期间仍可能带来潜在风险。在妇科手术过程中，由于热损伤和套管针放置，肠道损伤最为常见，而血管损伤可能具有较高的死亡率。妇科外科医生应了解与腹腔镜手术相关的风险，并能够预防和治疗潜在并发症。我们使用三个电子数据库（PubMed/MEDLINE、谷歌学术、Embase）进行了文献检索，检索时间从数据库建立至2024年5月，以确定最常见的术中妇科腹腔镜并发症，包括与套管针插入、肠道、泌尿系统和血管损伤相关的并发症。本叙述性综述的目的是描述妇科腹腔镜手术中最常见的并发症，并概述预防和治疗这些并发症所需的安全规则和技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb8/12006249/781889eb358d/12325_2025_3165_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb8/12006249/81331b8d6ffa/12325_2025_3165_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb8/12006249/ce5ead3562ef/12325_2025_3165_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb8/12006249/fa56dc32346c/12325_2025_3165_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb8/12006249/13fd6a5f37ce/12325_2025_3165_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb8/12006249/781889eb358d/12325_2025_3165_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb8/12006249/81331b8d6ffa/12325_2025_3165_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb8/12006249/f6aac3a6e404/12325_2025_3165_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb8/12006249/ce5ead3562ef/12325_2025_3165_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb8/12006249/fa56dc32346c/12325_2025_3165_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb8/12006249/13fd6a5f37ce/12325_2025_3165_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb8/12006249/781889eb358d/12325_2025_3165_Fig6_HTML.jpg

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