[Open laparoscopy: analysis of complications due to first trocar insertion].
OBJECTIVE
To evaluate the complications of open laparoscopy during the set-up of laparoscopy in gynecologic surgery.


METHODS
Retrospective study performed between February 1994 and January 2001 in a University Centre.


METHODS
1,562 patients underwent open laparoscopies. Procedures were performed by 8 gynaecological surgeons. Peri- and postoperative complications were assessed and analysed.


RESULTS
Major injuries concerned gastrointestinal tract: 2 perforations with immediate diagnosis and one postoperative occlusion treated by delayed laparotomy (0.19%). No death occurred. No vascular injuries and no bladder complications were noted.


CONCLUSIONS
We recommend open laparoscopy because of its innocuity and easiness. Advantages concern decrease of major vascular injuries and early recognition of bowel injuries.
Cravello
L
L
Service de gynécologie-obstétrique B, hôpital de la Conception, 147, bd Baille, 13385 Marseille, France. lcravello@ap-hm.fr
Banet
J
J
Agostini
A
A
Bretelle
F
F
Roger
V
V
Blanc
B
B
D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology*; D012189:Retrospective Studies
"L'open-coelioscopie": analyse des complications liées au mode d'introduction du premier trocart.