Prevention and treatment to complications of laparoscopic gynecological surgery

[Objective] To study the causes, managment and prevention of the complications of laparoscopic gynecological surgery. [Methods] 2 266 laparoscopic surgeries out from March 2001 to October 2006 were analyzed retrospectively. [Results] Complications occurred in 47 cases, the overall complication rate was 2.07%. 12 cases needed open surgery(25.53%), 4 cases needed laparoscopic surgery again(8.51%). The complications included: persistent ectopic pregnancy (13 cases), bleeding, viscera injury (2 cases), infection (1 case), unpredictable malignant tumor (2 cases), cubcutaneous emphysema (18 cases). [Conclusion] Some complications of laparoscopic surgery are serious and great attention should be paid. In order to reduce the risks of laparoscopic surgery indications should be selected correctly, procedures should be operated carefully and postoperative follow-up should be adapted.