| [Objective] The virtue of Laparoscopic surgery is micro-injury.less volume of bloodloss .swiffer recovery after operation .shorter length of stay and less scar of abdominal wall.lt is accepted by gynenologists and patients and it replaces part laparotomy. Laparoscopy provides a new way for disease treatment. 129 patients were managed by laparoscope during 2003.10-2004.10 in Jilin University Affiliated Chinese and Japanese United Hospital deartment of gynenology and Changchun Obstetric and Gynecology Hospital gynecology .In this article the result is reviewed and related factors are summed up . It also explores the value of laparoscopic operation in the treatment of gynecologic diseases.[ Methods ]From October 2003 to October 2004,129 patients were successfully managed by laparoscope in Jilin University Affiliated Chinese and Japanese United Hospital deartment of gynenology and Changchun Obstetric and Gynecology Hospital gynecology .25 patients underwent laparotomy The patients'age was from 17 to 53 years old, average age was 30.8 years old . The kinds of disease involve ectopic pregnancy 68 patients .appendix cyst 55 patients,disruption of corpus luteum of ovary 2 patients, and myoma of uterus 4 patients.AII patients were judged particularly before operation to select suitable patients to treat with laparoscopy. Fasting 12 hours and not drinking water 4 hours , clearing skin of opertion area and indwelling bladder catheter before laparoscopy. All patients adopted General anesthesia, united lumbar and epidural anesthesia, laparoscopic device and correlating instrument made by Stryker company of U.S. and WISAP company of Germany. All patients wereOperated by laparoscopy. The head were lower 15 degree than buttock, The pressure of abdominal cavity kept 10-15 mmHg, Laparoscopy was put in umbilical part , 5 mm and 10mm acanthopored respectively at McBurney point and piont of symmetry of left lower quadrant. Operating type includes 68 ectopic pregnancy .salpingectomy. evidement of 11 parovarian cyst , 12 chocolate cyst of ovary, 3 ovarian teratoma and 20 ovarian tumor, 8 appendage excision, prosthesis for 2 disruption of Corpus luteum of ovary, 4 evidement of myoma of uterus.[Results] Among 129, 128 patients were successfully managed by laparoscope ,and the rate of success was 99.22%. 1 patient with mucinous cystadenoma of ovary was operated appendage ectomy by laparoscopic ,but changed to laparotomy for borderline malignancy mucinous cystadenoma after pathology confirmed during the operation. Failure rate was 0.78%.8(6.20%) patients presenced slight ache of right shoulder after operation for diaphragm muscle was stimulated by remaining CO2 of pneumoperitoneum and the patients took a turn for the better in 24 hours. No other complication occurred. Only 6 patients used antalgica, occupying 4.65%. All patients ambulated,haved demi-liquid diet and bladder catheter were taken out after extinction of effect of anesthetic. General diet could be taken 24 hour after operation .Ectopic pregnancy group:the length of operating time 43.84 ±26.85min ,the bloodloss 17.58 +18.09ml ,the time of exhaust 23.28 ± 12.37h and average stay 3.91±1.90d after operation, evidement of appendage cyst group: the length of operating time 48.72 ± 25.07min, ,the bloodloss 28.43±20.82ml,the time of exhaust 18.66+ 16.22h and average stay 4.06 + 1.89d after operation. Appendage...
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