Charvolin J Y, Querleu D, Lanvin D, Cosson M, Dubecq F
Clinique Universitaire de Gynécologie-Obstétrique, Pavillon Paul Gellé, Roubaix.
J Gynecol Obstet Biol Reprod (Paris). 1997;26(6):585-9.
From 1992 to 1995, 1565 laparoscopic operations were performed in Roubaix. We report on six complications.
To compare this figure with these of the French collaborative study done from 1987 to 1991 by seven departments known for their laparoscopic activity, including Roubaix.
The trends are good. The rate of injuries was stable in spite of increasingly complex procedures. The largest portion of visceral and even vascular injuries were repaired by laparoscopy reducing by the same amount use of laparotomy.
Strict adherence to safety guidelines and specific training of surgeons reduce the need of laparotomy for laparoscopic complication.
1992年至1995年期间,鲁贝进行了1565例腹腔镜手术。我们报告了6例并发症。
将这一数字与1987年至1991年由包括鲁贝在内的七个以腹腔镜手术活跃著称的科室开展的法国协作研究中的数据进行比较。
趋势良好。尽管手术程序日益复杂,但损伤率保持稳定。大部分内脏甚至血管损伤通过腹腔镜修复,从而减少了同等数量的开腹手术的使用。
严格遵守安全指南和对外科医生进行专项培训可减少因腹腔镜并发症而进行开腹手术的需求。