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- Title
Complications during set-up procedures for laparoscopy in gynecology: open laparoscopy does not reduce the risk of major complications.
- Authors
Chapron, C.; Cravello, L.; Chopin, N.; Kreiker, A.; Blanc, B.; Dubuisson, J. B.; Kreiker, G
- Abstract
<bold>Objective: </bold>To compare the risk of major complications during the set-up procedures for laparoscopy according to whether the classic technique (creation of the pneumoperitoneum followed by introduction of the optics trocar) or open laparoscopy is used.<bold>Methods: </bold>Comparison was made of two retrospective series each carried out in a department promoting one of the two techniques. The setting was a university-affiliated hospital. Two groups of patients were compared: group A, classic laparoscopy, n = 8324; group B, open laparoscopy, n = 1562. We investigated the set-up procedures of operative laparoscopy according to the rules of classic or open laparoscopy.<bold>Results: </bold>The risk of failure requiring conversion to laparotomy is significantly higher in the group of patients who underwent open laparoscopy [three cases (0.19%) vs. 0 case (0.0%); p = 0.004]. The risk of major complications is comparable in the two groups [group A, four cases (0.05%) vs. group B, three cases (0.19%); p = 0.08]. In the classic laparoscopy group there were four major complications: one injury to the aorta and three bowel injuries. In the open laparoscopy group there were three major complications: two bowel injuries and one postoperative occlusion.<bold>Conclusions: </bold>Open laparoscopy does not reduce the risk of major complications during the set-up procedures for laparoscopy. Randomized prospective trials are indispensable for comparing the risks involved with the classic technique and those of open laparoscopy.
- Subjects
LAPAROSCOPY complications; GYNECOLOGY; LAPAROSCOPIC surgery; CLINICAL trials; DISEASES in women; ARTIFICIAL pneumoperitoneum; ABDOMINAL surgery; COMPARATIVE studies; SURGICAL diagnosis; FEMALE reproductive organ diseases; LAPAROSCOPY; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; PROBABILITY theory; RESEARCH; RISK assessment; SURGICAL complications; EVALUATION research; DISEASE incidence; RETROSPECTIVE studies; SEVERITY of illness index
- Publication
Acta Obstetricia et Gynecologica Scandinavica, 2003, Vol 82, Issue 12, p1125
- ISSN
0001-6349
- Publication type
journal article
- DOI
10.1046/j.1600-0412.2003.00251.x