Laparoscopic Entry in High-Risk Gynecologic Surgery

摘要

Laparoscopy is a common procedure in gynecology and gynecologic oncology. In general, laparoscopy provides significant benefits for patients, such as less visible scarring, less postoperative pain, and faster recovery; and benefits for health care systems, such as shorter hospital stays and reduced inpa-tient costs. The overall surgical benefits include magnification of the image to visualize subtle lesions and metastatic or recurrent disease, and a significant improvement in dissection in challenging areas such as the paravesical and pararectal spaces. Gynecologists performing laparoscopic surgery recognize that if they perform enough procedures, they eventually will encounter complications. Many complications are related to the method of entry of the laparoscope, and these include perforation of the bowel, the major retroperitoneal vessels, or the anterior abdominal wall vessels.