Smith D C, Donohue L R, Waszak S J
Department of Obstetrics and Gynecology, University of Washington, Swedish Hospital Medical Center.
Am J Obstet Gynecol. 1994 Jun;170(6):1635-40; discussion 1640-2.
Our purpose was to review the findings of a Gynecologic Endoscopic Review Committee established to monitor and review operative endoscopic procedures performed by the staff at a large private hospital, Swedish Hospital Medical Center, in Seattle.
Hospital charts of patients undergoing the endoscopic procedures under review are pulled monthly, and the data are extracted, particularly as related to performance of the procedures, length of surgery and hospitalization, and occurrence of complications. This study is a compilation of the committee's review of a 15-month interval, Jan. 1, 1992, to March 31, 1993.
Forty-two surgeons performed 227 endoscopic procedures on 218 patients, 100 hysteroscopically and 127 laparoscopically. Significant complication rates were associated with the transhysteroscopic operative procedures and with many of the translaparoscopic procedures, including oophorectomy, ovarian cystectomy, myomectomy, pelviscopic lysis of adhesions, and laparoscopic-assisted vaginal hysterectomy.
A significant complication rate was found for many of the advanced endoscopic procedures performed at Swedish Hospital Medical Center. This is likely related to operator inexperience in performing relatively difficult endoscopic procedures involving new and ever-expanding arrays of techniques and instruments.
我们的目的是回顾一个妇科内镜审查委员会的调查结果，该委员会旨在监测和审查西雅图一家大型私立医院瑞典医院医疗中心的工作人员所进行的内镜手术。
每月抽取接受审查的内镜手术患者的医院病历，并提取数据，特别是与手术操作、手术时长和住院时间以及并发症发生情况相关的数据。本研究是该委员会对1992年1月1日至1993年3月31日这15个月期间的审查汇总。
42名外科医生对218名患者进行了227例内镜手术，其中宫腔镜手术100例，腹腔镜手术127例。经宫腔镜手术操作以及许多经腹腔镜手术操作，包括卵巢切除术、卵巢囊肿切除术、子宫肌瘤切除术、盆腔粘连松解术和腹腔镜辅助阴式子宫切除术，均有显著的并发症发生率。
瑞典医院医疗中心所进行的许多先进内镜手术都有显著的并发症发生率。这可能与术者在进行涉及新技术和不断扩展的器械阵列的相对困难的内镜手术方面缺乏经验有关。
