Abstract:Objective:To investigate the clinical value of combined general surgical and gynecological laparoscopy.
Methods:During 7 years, 229 patients with abdominal and gynecological diseases were treated with laparoscopy, including laparoscopic cholecystectomy (LC)+salpingostomy in 5, LC+ovarian cystectomy in 28 cases, LC+hysteromyomectomy in 25, LC+subtotal hysterectomy in 39, LC+total hysterectomy in 26, LC+treatment of endometriosis in 6, laparoscopic appendectomy (LA)+salpingostomy in 38, LA+ovarian cystectomy in 32, LA+subtotal hysterectomy and total hysterectomy in 24, and fenestration of liver cysts+ovarian cystectomy in 6.
Results:Laparoscopic procedures were completed in all the 229 cases without conversion to open surgery. The operation time ranged from 40 to 220 min (mean, 120 min), and postoperative hospital stay ranged from 1 to 6 days(mean 3.4 days), only 1 patient developed vaginal stump hemorrhage 10 days after the operation and was cured by conservative therapy. Among the 229 cases, 175 were followed up for 3 to 24 months(mean 19.5 months),1 experienced polyp at vaginal stump 2 months postoperation and underwent polyp resection.
Conclusions:Combined general surgical and gynecological laparoscopy is a promising method for patients with abdominal diseases complicated with gynecological diseases. It is important for surgeons to deeply understand the indications of laparoscopy, and get good co-operation with doctors from different departments. Patients must have adequate preoperative preparation.