[Clinical analysis of conversion from gynecological laparoscopic surgery to laparotomy]

OBJECTIVE: To discuss the causes and clinical significance of conversion to laparotomy during laparoscopic surgery. METHOD: Three thousand two hundred and three cases who underwent laparoscopic surgery during the past five years were analyzed retrospectively. RESULTS: Three thousand one hundred and eighty cases underwent laparoscopic surgery, in which 23 cases were converted to laparotomy due to factors including severe pelvic adhesions (6 cases), complex disease with difficulties in laparoscopy (7 cases), massive haemorrhage (3 cases), bladder trauma (1 case), gastric trauma (1 case), intestinal trauma (1 case), as well as unexpected malignant genitalia neoplasm (4 cases). CONCLUSION: The major causes for the conversion to laparotomy during gynecology laparoscopic surgery are severe pelvic adhesion and complex disease with difficulties in laparoscopy. Careful evaluation before surgery and conversion to laparotomy at the right moment can decrease the complication.