Clinical Analysis for Conversion From Gynecological Laparoscopic Surgery to Laparotomy

Objective To study the clinical factors in conversion from gynecological laparoscopy to laparotomy. Methods Laparoscopic surgery that was performed in 1,342 gynecology patients within the recent 2 years was analyzed(retrospectively). Results Among them,27 patients were converted to laparotomy(2.0%).Causes converted to laparotomy were peculiar location of uterus myoma(29.6%),pelvic adhesion(25.9%),adenomyosis or adenomyoma and required to avoid uterectomy(18.5%),malignant tumors(11.1%),torsion of the pedicle of ovarian cyst(3.7%),interstitial tubular pregnancy(3.7%),uterus didelphys with oblique vaginal septum and left cervical atresia(3.7%),and bleeding((3.7%)). Conclusions Peculiar location of uterus myoma and pelvic adhesion are the main causes of conversion from gynecological laparoscopy to laparotomy.Careful evaluation before surgery is important to reduce the rate of conversion to laparotomy.To convert from laparoscopy to laparotomy at the right moment may help to reduce unnecessary complications.