Related Experiment Video
Updated: Jul 14, 2026
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
[Clinical analysis of conversion from gynecological laparoscopic surgery to laparotomy]
Jiu-mei Cheng1, Hua Duan, Jin-juan Wang
1Department of Center Minimally Invasive Gynecology, Beijing Obstetrics and Gynecology Hospital, Capital University of Medical Sciences, Beijing 100006, China.
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.
