Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2009, Vol. 05 ›› Issue (02): 127 -131. doi: 10.3877/cma.j.issn.1673-5250.2009.02.107

Original Article

Application of Laparoscopy in Benign Gynecological Diseases for Elderly Women.

Qian ZHU, Li ZHANG, Hong-qin CHEN, Gang SHI   

  1. West China Second University Hospital, Sichuan University, Chengdu 610041, China
  • Published:2009-04-01
Objective

To assess the clinical application of laparoscopic surgery in the management of benign gynecological diseases for elderly women.

Methods

From August 2004 to October 2007, 189 women aged more than 60-year-old who underwent laparoscopy or open surgery for suspected benign gynecological diseases were reviewed retrospectively(except for the malignant tumor operation and transvaginal surgery). They were divided into laparoscopy group (n=53) and open surgery group (n=136), sub-laparoscopy group (n=42, adnexectomy) and sub-open surgery group (n=43, adnexectomy). Informed consent was obtained from all patients.

Results

Sub-laparoscopy group showed lower perioperative blood pressure fluctuation than sub-open surgery group in the management of adnexectomy. Non-steroidal drugs were used for postoperative analgesia after laparoscopy while opioid drugs were used for patients who underwent laparotomy. Compared with sub-open surgery group, the usage of antibiotics, time to have semifluid, time of putting urethral catheter away, time of intestinal ventilation and days of hospitalization were significantly lower in sub-laparoscopic group. But there were no statistical significance of other types of surgery between two groups. The postoperative complications of laparoscopy group and open surgery group were 5.66%(3/53) and 16.91%(23/136), respectively.

Conclusion

Laparoscopic adnexectomy has a milder injury and smaller impact on cardiorespiratory function and internal environment for elderly patients than those of laparotomy. Elderly women with persistent adnexal masses should take laparoscopy more actively.

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