A nationwide survey on gynecologic endoscopic surgery in Japan, 2014-2016
| Autor: | Tasuku Harada, Mari Kitade, Hiroto Tajima, Keisuke Kurose, Ichiro Uchiide, Toshiyuki Takeshita, Jun Kumakiri, Tetsuya Hirata, Fuminori Taniguchi, Obstetric Endoscopy, Minimally Invasive Therapy, Osamu Wada-Hiraike, Hirotaka Masuda, Juichiro Saito |
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| Rok vydání: | 2018 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Urinary system Medical record General surgery medicine.medical_treatment Obstetrics and Gynecology Postoperative complication Endoscopic surgery Nationwide survey Endoscopy 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis medicine Adverse effect business |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 44:2067-2076 |
| ISSN: | 1341-8076 |
| DOI: | 10.1111/jog.13774 |
| Popis: | Aim Since 2014, Japan Society of Gynecologic and Obstetric Endoscopy and minimally invasive therapy (JSGOE) conducted a nationwide survey on gynecologic endoscopic surgery. We aimed to evaluate the current status and complications associated with endoscopic surgery by Japan gynecologic and obstetric endoscopy-database registry system (JOE-D). Methods Electrical medical records concerning the endoscopic surgery were generated from the daily use of reporting system. The subjects were all patients who underwent gynecologic endoscopic surgery. In addition to assessment of actual numbers, diagnosis, and operative methods, adverse events were registered. Results Total 203 970 patients performed laparoscopic, hysteroscopic and falloposcopic surgery for 3 years, 2014-2016. The numbers of endoscopic surgeries conducted in 2016 were increased more than 67 000, 13 000 or 450 cases, respectively. Incidence rates of complications involving these three types of surgeries in each year were approximately 3.1%. Incidences of intraoperative complications were relatively high in malignant diseases, laparoscopic-assisted vaginal hysterectomy (LAVH) and myomectomy (LAM). In total laparoscopic hysterectomy/laparoscopic hysterectomy (TLH/LH) performed from 2014 to 2016, ureteral injury as intra and postoperative complication occurred in 0.35%. In the past 3 years, the rates of vascular injury, urinary tract, and bowel injury as intraoperative complications caused by laparoscopic surgery were approximately 0.1%. In the hysteroscopic surgery, the rates of total intra- and postoperative complications were 0.78%. Conclusion We exhibited the current status by the nationwide survey of gynecologic endoscopic surgery all over Japan. Severe intra or postoperative complications were identified over the 3 years at a rate of 0.04%. |
| Databáze: | OpenAIRE |
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