Objective: To investigate on the incidence of gynecological laparoscopic operation complications within ten years.
Methods: From January 2003 to December 2012, clinical data and the complications of 4 897 cases undergoing gynecological laparoscopic operation in First Hospital of Peking University were studied retrospectively. Those surgeries included 876 cases with hysterectomy, 662 cases with myoectomy, 3 266 cases with adnexa surgery, 93 cases of diagnostic laparoscopy operation.
Results: The complications occurred in 29 cases, the incidence rate was 0.59% ( 29/4 897). The Incidence rate in Hysterectomy group was 1.83% (16/876), which was significantly higher than 0.60% (4/662) in myoectomy group and 0.28% (9/3 266) in adnexa surgery group. Twenty nine cases of complications were 14 cases with organ injures (48%, 14/29), 5 cases with hemorrhage complications (17%, 5/29), 8 cases with infectious complications (28%, 8/29), 2 cases with incisional hernia (7%, 2/29).
Conclusion: The major complication of gynecological laparoscopic operation complication was organs injuries, which was associated with difficulty and scope of the operation.