A Clinical Study of 215 Cases of Pelviscopic Surgery in Gynecologic field / 대한산부인과학회잡지

ABSTRACT

OBJECTIVE: To evaluate the scope of pelviscopic surgery on gynecologic disease, safety or efficacy associated with the procedure. METHODS: Two hundred fifteen cases of pelviscopic surgery which were performed at Dankook University Hospital from March 1998 to February 2002. All cases were analyzed with regard to the age, parity, indications for surgery, types of the surgery, past history of surgery, operation time, hospital days, intra and postoperative complications. RESULTS: The mean age of patient was 39.2 years, the mean number of parity was 1.8. The most common clinical indication of the surgery was ovarian tumor 106 cases (50.2%), followed by myoma uteri 80 cases (37.2%), CIN III 14 cases (6.5%). The types of surgery were LAVH 93 cases (43.3%), salpingo-oophorectomy 61 cases (28.4%), oophorectomy 34 cases (15.8%). The operation time ranged 20 to 200 minutes and the mean duration of hospitalization was 4.4 days. CONCLUSION: The pelviscopy offers the advantages of reduced surgical morbidity, less bleeding, less postoperative pain, shorter hospital stays. Pelviscopic operation is safe and effective alternative to laparotomy in many cases of gynecologic surgery.