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目的:探讨如何更好地在条件设备相对简单的基层医院开展腹腔镜手术,减少并发症的发生。方法:总结分析2004-01/2005-07妇科腹腔镜手术122例适应证、手术方式、并发症发生率。结果:腹腔镜手术成功率97.54%,中转开腹率2.45%,手术时间20~120 min,术中出血量5~300 ml;术后住院时间3~5 d,中位数3.5 d。严重并发症发生率为0,皮下气肿的发生率3.2%。结论:在仅有单极电凝设备的基层医院开展腹腔镜手术,减少并发症的要点是严格掌握适应证,合理选择术式和使用器械,全面提高术者的基本功。
Objective: To explore how to carry out laparoscopic surgery in primary hospitals with relatively simple equipment and conditions to reduce the incidence of complications. Methods: A total of 122 cases of gynecological laparoscopic surgery indications, surgical methods, complication rates were analyzed. Results: The success rate of laparoscopic surgery was 97.54%, the conversion rate to open laparotomy was 2.45%, the operation time was 20 to 120 minutes and the intraoperative blood loss was 5 to 300 ml. The postoperative hospital stay was 3 to 5 days with a median of 3.5 days. Serious complication rate was 0, the incidence of subcutaneous emphysema 3.2%. Conclusion: The main points of laparoscopic surgery in primary hospitals with monopolar electrocoagulation equipment to reduce complications are strict indications, reasonable choice of surgical procedures and use of instruments, and comprehensive improvement of the basic skills of the surgeon.